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tl JoaquinSan n <br /> oc PQ :" Environmental I DIRECTOR <br /> OG Donna Heran,RENS <br /> r. z 600 East Main Street <br /> c � Stockton, California 95202-3029 PROGRAM COORDINATORS <br /> Margaret Lagorio,REHS <br /> .';. �'• Robert McClellon,REHS <br /> :P Website: www.S/g .oovr g/ehd Jeff Carruesco,RENS,RDI <br /> 4 %F o R� Kasey Foley,REHS <br /> Phone: (209)468-3420 <br /> Fax: (209)464-0138 <br /> November 4,2009 <br /> Diane Lopez Sent via Fax and Mail <br /> Franzen Hill Corporation <br /> 1100 North J Street <br /> Tulare,CA 93274 <br /> Fax: 559-688-1467 <br /> Subject: Country Club Food and Fuel, 1856 Country Club Blvd,Stockton(SR0058698) <br /> The San Joaquin County Environmental Health Department(EHD)has completed the review of <br /> the application for a permit to install Gilbarco dispensers with Bravo conversion frames. The <br /> permit has been approved with the following conditions: <br /> Conditions of approval: <br /> 1. Contact the local fire department,local planning or building department and the San <br /> Joaquin Valley Air Pollution Control District for any applicable permits. <br /> 2. Any changes shall be submitted to the San Joaquin County Environmental Health <br /> Department(EHD)for approval prior to commencing work.All new addenda supercede <br /> the previous ones. <br /> 3. Contact Garrett Backus(209-468-2986)to arrange the following inspection(s)(a 48-hour <br /> notice is required): <br /> a. Inspect the dispenser installation and under dispenser containment. Verify that <br /> the under dispenser containment is large enough to collect leaks from the <br /> dispenser piping. <br /> 4. A"Certification of Installation/Modification"form shall be submitted by the owner or <br /> the owners'agent [pursuant to(CCR)2635(d))before this upgrade will be considered <br /> complete by EHD. <br /> 5. All components must be certified by an independent testing organization and labeled as <br /> required by the organization.(UL,ULC,ANSI,API,ASTM,etc. See California Code of <br /> Regulations(CCR),Title 23 Chapter 16 Table B for complete list). The component must <br /> bear the appropriate mark as required by the independent testing organization. <br /> 6. Qualified service technicians must possess or work under the direct and personal <br /> supervision of an individual physically present at the work site who possesses all of the <br /> following: <br /> a. One of several permissible valid,current contractor's licenses issued by the <br /> Contractors State License Board(may be issued to the installation company),and <br /> b. All valid,current California UST certificates issued by the International Code <br /> Council(ICC),that are applicable to the work being performed,and <br /> Page 1 of 2 <br />