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000733 0 <br /> 20. A"UPCF UST Certification of Installation/Modification", formerly SWRCB <br /> Form C and UPCF hwfwrc-c, shall be submitted by the owner or the owner's <br /> agent before this installation will be considered complete by EHD. <br /> 21 An accurate and drawn-to-scale-as-built plan must be received by EHD prior to <br /> scheduling the fir-d inspection. <br /> 22. Contact Michelle Henry, RENS ay(209) 953-7699 for inspections. See <br /> inspection checklist for the required inspections. All appointments must be <br /> scheduled 48 hours in advance. <br /> This permit expires at the end of the calendar year A written request for extension must <br /> be received 30 days prior to the expiration date. <br /> Please contact me at(209) 953-7699 with any questions regarding this permit. <br /> Thank you <br /> Michelle Henry,REHS <br /> San Joaquin County <br /> Environmental Health Department <br /> cc: Lodi Memorial Hospital <br /> I <br />