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ENVIRONMENTAL HEALTH?)EPARTMENT <br />PpUi/y <br />2 <br />Donna K Heran, R.E.H.S. <br />Director <br />Al Olsen, R.E.H.S. <br />Program Manager <br />q i r- 6 R a <br />Laurie A. Cotulla, R.E.H.S. <br />Program Manager <br />May 12, 2003 <br />Valued Engineering <br />1659 Lucerne Ave <br />Stockton CA 95203 <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: Pacific Mini Mart <br />4511 Pacific Ave, Stockton <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 permit application to remove an underground storage tank from the above referenced <br />facility has been approved with the following conditions: <br />12. See pages 7 & 8 of the permit application for required analytical tests. <br />3. A copy of the fire department permit must be submitted at the time of removal. <br />4. Schedule removal appointment 48 hours in advance. <br />5. In addition, the following information must be submitted within 30 days of the removal <br />date: <br />(a) Analytical results, mailed from the lab <br />(b) UST Tracking Record Sheet and Tank Hazardous Waste Manifest <br />(c) Tank Closure Certification Form <br />(d) Hazardous Waste Manifest for piping, rinsate, residual fuel, or waste oil receipt if <br />applicable <br />(e) Submit the backfill excavation certificate as required by San Joaquin County <br />6. This permit expires on August 12, 2003. <br />If you have any questions please contact Michelle Le at (209) 468-9847. <br />Thank you, <br />Michelle Le, R.E.H.S. <br />Senior Registered Environmental Health Specialist <br />