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October 31, 2013 <br />Rakhi Chawla <br />444 Mossdale Rd <br />Lathrop, CA 95330 <br />00 <br />0 0 <br />San Joaquin County <br />Environmental Health Department <br />1868 East Hazelton Avenue <br />Stockton, California 95205-6232 <br />Website: www.sjgov.org/ehd <br />Phone: (209) 468-3420 <br />Fax: (209) 464-0138 <br />RE: ARCO MOSSDALE; 444 Mossdale Rd, Lathrop, CA 95330 <br />DIRECTOR <br />Donna Heran, REHS <br />PROGRAM COORDINATORS <br />Robert McClellon, REHS <br />Jeff Carruesco, REHS, RDI <br />Kasey Foley, REHS <br />Linda Turkatte, REHS <br />Rodney Estrada, REHS <br />Adrienne Ellsaesser. REHS <br />The San Joaquin County Environmental Health Department has been informed that you are the new owner or <br />operator of the underground storage tanks (UST's) at the above-mentioned facility. Please complete the <br />following items within 30 days of the close of escrow [CA Health and Safety Code section 25284 (b) & (c)]: <br />1. Underground Storage Tanks — Facility Form — Provide all current information, sign and date at the <br />bottom. <br />2. Underground Storage Tanks — Tank Forms — Provide all current information, sign and date the bottom <br />of each form. <br />3. Certification of Financial Responsibility/Letter from Chief Financial Officer: Complete the form provided, <br />and make a copy for our records. This document is required to be submitted to this office annually. <br />4. Underground Storage Tank Monitoring and Response Plans: Complete and submit a copy for approval. <br />An approved copy will be returned. Retain an approved copy of these plans onsite for future reference <br />by employees. <br />5. Report #5021: Update all information for all programs at this site including the UST and Hazardous <br />Waste programs, sign and date. Bring with all other forms to our accounting office to pay for transfer <br />fees and the $105/hr UST Consulting fee, if necessary. <br />6. If you are the owner, you must submit a notification form identifying the "Designated UST Operator" for <br />each facility owned. A notification form is enclosed for your use. <br />7. Go to: http://www.waterboards.ca.gov/cwphome/ust/regulatory/index.html - rgs to obtain the current <br />statutes (Underground Storage of Hazardous Substances) and UST Regulations that you are required <br />to have for your monitoring and response plan. <br />8. Also enclosed for your information is a brochure of Best Management Practices (BMP's) for Retail <br />Gasoline Outlets that you can use as part of your BMP's for your facility. <br />9. Create an account with the CA Environmental Reporting System (CERS) by going to <br />http://cers.calepa.ca.gov Complete the enclosed CERS Lead User Authorization Form, ensure that all <br />the required annual uploads are completed in a timely manner. <br />10. Hazardous Materials Management Plan: Contact EHD Hazmat Staff at (209) 468-3420 for information <br />on updating this plan. <br />11. Information and instructions for obtaining a permanent California EPA ID number: Complete the <br />application for a California Hazardous Waste Permanent ID Number and fax it to (916) 255-4703. <br />12. Board of Equalization UST Storage Fee Account Number — Call (916) 322-9669 to obtain a current <br />number for this facility. <br />13. San Joaquin Valley Air Pollution Control District — Call (209) 557-6400 for operating permit for vapor <br />recovery system on the UST <br />14. Food facility operations — Call Melissa Nissim (209) 483-4073 for operating permit for opening the retail <br />food facility. A consultation appointment may be needed. <br />15. Go to: http://www.sjcehd.com/Programs/Unitlll/unitiii.htm for additional information, updates, regulations <br />and forms. The most current versions of all forms must be submitted. <br />