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0 0 <br /> RE: Lodi Memorial Hospital 975 S. Fairmont Lodi, CA 95240 (SR0055680) <br /> 5. Any changes in information and scope of work must be submitted to EHD for <br /> approval prior to commencing work. All new addenda supersede the previous <br /> ones. <br /> 6. Contact Aris Cacapit to arrange the following inspections (a 48 hour notice is <br /> required): <br /> a. One hour hydrostatic test (or equivalent) on the diesel spill bucket after <br /> concrete is poured. <br /> b. Verify the spill container has a minimum capacity of 5 gallons. <br /> c. Verify corrosion protection prior to backfill and pouring concrete. <br /> d. The test fluid should cover the top joint, and be no less than 1.5 inches <br /> below the top of the spill bucket, regardless of the spill bucket's capacity <br /> for the diesel spill bucket. <br /> e. Test operation of the drain valve of the diesel spill bucket. <br /> 7. Since concrete will be broken over the UST, a third party tank integrity test and/or <br /> line integrity test(or equivalent)must be performed, once concrete is poured in <br /> accordance with the manufacturer's guidelines. Results must be received by the <br /> EHD within seven days of returning the facility to operating condition. <br /> 8. A "Certificate of Compliance for Underground Storage Tank Installation Form C" <br /> shall be submitted by the owner or the owners' agent [pursuant to (CCR) 2635(d)] <br /> before this repair will be considered complete by the EHD. <br /> If you have any further questions, please contact me at(209) 468-/3453, fax to (209) 468- <br /> 3433 or email to acacapit@sjcehd.com. <br /> Thank you, <br /> *S C-�- <br /> Aris Cacapit <br /> Environmental Health Specialist <br /> Page 2 of 2 <br />