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ENVIRONMENTAL HEALTH DEPARTMENT <br />SAN J A UIN COUNTY <br />Donna K. Rerun, R.E.H.S. Program Coordinators 304 East WeberAvenue, Third Floor Carl Borgman, R.E.H.S. <br />Director <br />Laurie A. Creche, R.E.H.S. Stockton, California 95202-2708 Mike Huggins, R.E.H,S , R.D.I. <br />AssiMn[ Dir�!<.tC�p Telephone: (209)468-3420 Margaret Clelltagorio, R.E. X.F.R.S. <br />R�,h�n MCcIeIlon, R.E.H.S. <br />Fax: (209) 464-0138 Jeff Carruesco, R.E.H.S. <br />Website: www.sjgov.org/ehd/ mosey Foley, R.E.H.S. <br />January 22, 2006 <br />Attn: Bill Balch <br />Balch Petrolum <br />930 Ames Avenue <br />Milpitas, CA 95035 <br />Re: 13850 De Vries Road, Lodi <br />Your application for permit to install new primary and secondary piping and a monitoring system to <br />the existing underground storage tank at the above location has been approved with the following <br />conditions: <br />1. Contact the fire department and the San Joaquin Valley Air Pollution Control District for <br />applicable permits. <br />2. At least one person who holds a current International Code Council UST Installer/Retrofitter <br />certification and manufacturers' certificate of training for all components installed must be onsite <br />when work is performed. <br />3. Each person installing or testing any component must hold a current certificate of training from the <br />manufacturer of that component. <br />4. Any changes shall be submitted to Environmental Health Department (EHD) for approval prior to <br />commencing work, All new submittals supercede the previous ones. <br />5. All piping, fittings and sumps must be certified by an independent testing organization and labeled <br />as 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.). pursuant to the Underwriters <br />Laboratories Inc (UL) listings, only those products bearing the UL mark will be considered listed. <br />Any part/product not marked with the Cit. label wilt be rejected. <br />6. All monitoring systems shall be listed in LG113-16. <br />7. All installation and testing shall be in compliance with manufacturer's instructions, Section 2635 <br />and 2636 of CCR. <br />8. All piping must slope and be able to drain to a containment sump with an audible/visual alarm.. <br />9. All metal components in direct contact with the ground such as flexible connectors, swing joints, <br />fittings, and pumps shall be eathodically protected. <br />10. An integrity test must be performed in accordance with the manufacturer's guidelines for the tank <br />and the piping once the site is in operating condition (once concrete is poured) and before the final <br />inspection. A hard copy of the results must be submitted to this office prior to operation. <br />11. Submit a Monitoring and Response Plan to EHD prior to the final inspection. <br />Page 1 of 2 <br />Z0 39Vd HDIVS TETOZV680P 8b:0T L00Z/E1/60 <br />