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Van de Pol/Pacific Pride 351 N, Beckman Rd. Lodi, CA 95240 SR0060332 <br /> 5. Qualified installers must possess or work under the direct and personal supervision of an <br /> individual physically present at the work site who possesses all of the following: <br /> a. A valid, current contractor's license issued by the Contractors State License Board, <br /> and <br /> b. A valid, current certificate of training from the manufactureqs) of the component($) <br /> being installed, and <br /> c. A valid, current UST Installation/Retrofitting certificate issued by the International <br /> Code Council (ICC). <br /> a. A"UST Certification of Installation/Modification"form shall be submitted by the owner or <br /> the owner's agent(CCR Section 2635(d)) before this upgrade is considered complete by <br /> EH D. <br /> 7. 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)Tits 23, Chapter 16, Table B for a complete list. <br /> 8. Permit expires 180 days from the date of approval, If an extension to the expiration date <br /> is required, a written request must be submitted to this office prior to the expiration date. <br /> If you have any further questions, please contact me at(209)468-3453. <br /> Thank you, <br /> Aris Cacapit, REHS <br /> Registered Environmental Health Specialist <br /> 2 <br /> 9Z 'd 50:Z1 OLOZ 61 inp O1.6199V60Z:x83 10d 30 NVA <br />