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0 <br />ENVIRONMENTAL HEALTH DEP <br />OPpUIN C <br />a ?� Donna K. Heran, R.E.H.S. <br />Director <br />Al Olsen, R.E.H.S. <br />c9 i F 6W��P Program Manager <br />Laurie A. Cotulla, R.E.H.S. <br />Program Manager <br />4/29/05 <br />Elite IV <br />Fax # (209) 461-6342 <br />SAN JOAQUIN COUNTY <br />304 East Weber Avenue, Third Floor <br />Stockton, California 95202-2708 <br />Telephone: (209) 468-3420 <br />Fax: (209) 464-0138 <br />RE: COUNTRY CLUB FOOD & FUEL <br />ARTMENT <br />Unit Supervisors <br />Carl Borgman, R.E.H.S. <br />Mike Huggins, R.E.H.S., R.D.I. <br />Douglas W. Wilson, R.E.H.S. <br />Margaret Lagorio, R.E.H.S. <br />Robert McClellon, R.E.H.S. <br />Mark Barcellos, R.E.H.S. <br />The San Joaquin County Environmental Health Department (SJCEHD) has received the <br />permit to replace existing spill buckets and install overfill prevention device at the above <br />referenced location. The permit has been approved with the following conditions: <br />1. Contact the local fire department, and the San Joaquin Valley Air Pollution Control <br />District for applicable permits and requirements. <br />2. Any changes in information or scope of work must be submitted to SJCEHD prior to <br />commencing work. <br />3. At least one person who holds the International Code Council "UST <br />Installer/Retrofitter" certification must be onsite AT ALL TIMES when work is <br />performed. <br />4. A "Certificate of Compliance for Underground Storage Tank Installation Form C" <br />shall be submitted by the owner or the owners' agent [pursuant to California Code of <br />Regulation (CCR) 2635(d)] before this upgrade will be considered complete by <br />SJCEHD. <br />5. Contact John Jackson at (209) 468-3440 to arrange the following inspection <br />appointments; a 48-hour notice for inspection appointments is required. <br />a. Corrosion protection: prior to backfilling around the spill buckets, corrosion <br />protection of the risers must be verified. <br />b. Overfill prevention: overfill prevention system in compliance with CCR 2635 <br />(b)(2) must be verified. <br />c. Spill Bucket: after concrete is poured, verify minimum 5 -gallon capacity and <br />conduct a 30 -minute lake test in compliance with CCR 2635(b)(1). Proper <br />drainage must also be verified. <br />d. Third party tank integrity tests must be performed once concrete is poured, <br />prior to the contractor signing off of the jobsite. The test results must be <br />submitted to SJCEHD within 7 days of completing this project. <br />6. Permit expires 90 days from the approval date. Note: if an extension to the <br />expiration date is required, this office prior to the expiration date must receive a <br />written request. <br />Thank you, <br />John Jackson <br />San Joaquin County <br />Environmental Health Department <br />