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San Joaquin County DIRECTOR <br /> Donna Heran, REHS <br /> q—w f Y C,® Environmental Health Department <br /> ASSISTANT DIRECTOR <br /> Z 600 East Main Street Laurie Cotulla, REHS <br /> X <br /> _ 7 Stockton, California 95202-3029 PROGRAM COORDINATORS <br /> Carl Borgman, REHS <br /> WebsitewwwgMike Huggins, REHS, RDI <br /> qCi F6-0,4, : .sjgov.or /ehd Margaret Lagorio, REHS <br /> Phone: (209) 468-3420 Robert McClellon,REHS <br /> Fax: (209) 464-0138 Jeff Carruesco, REHS, RDI <br /> Kasey Foley, REHS <br /> July 14, 2008 <br /> Ziad El-smadi Sent Certified Mail <br /> Country Club Food and Fuel <br /> 1856 Country Club Blvd <br /> Stockton, CA 95205 <br /> Country Club Food&Fuel, 1856 Country Club Blvd, Stockton,CA 95205 <br /> The San Joaquin County Environmental Health Department(EHD)has received a business <br /> license application which indicates that Ziad El-smadi is the new owner or operator of the <br /> Underground Storage Tanks(USTs)at the above mentioned facility. Please complete the <br /> following items within 30 days of the close of escrow(Health and Safety Code section <br /> 25284(b-c). <br /> 1. Underground Storage Tanks—Facility Form—Provide all current information, sign <br /> and date at the bottom. <br /> 2. Underground Storage Tanks—Tank Forms—Provide all current information, sign <br /> and date the bottom of each form <br /> 3. Certification of Financial Responsibility/Letter from Chief Financial Officer: <br /> Complete the forms provided, and make a copy for our records. This document is <br /> required to be submitted to this office annually. <br /> 4. Provide documentation(Notice of Sale or Grant Deed)indicating when escrow <br /> closed and name(s)of previous and new owner(s). <br /> 5. Underground Storage Tank Monitoring and Response plans: Complete and submit a <br /> copy. Retain the originals onsite for future reference by employees. <br /> 6. Report#5021: Update all information for all programs at this site(s) including the <br /> UST and Hazardous Waste programs, sign and date. <br /> 7. If you are the owner,you must submit a notification form identifying the"Designated <br /> UST Operator"for each facility owned. <br /> 8. Go to: http://www.waterboards.ca.gov/cwphome/ust/regulatoKy/index.html-rgs to <br /> obtain the current statutes(Underground Storage of Hazardous Substances) and UST <br /> Regulations that you are required to have for your monitoring and response plans. <br /> 9. Hazardous Materials Management Plan: Contact the San Joaquin County Office of <br /> Emergency Services at(209)468-3969 for information on updating this plan. <br /> 10. Information and instructions for obtaining a permanent California EPA ED number: <br /> Complete the application for a California Hazardous Waste Permanent ID Number <br /> and fax it to (916) 255-4703. <br /> Page 1 of 2 <br />