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0 0 <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />SAN JOAQUIN COUNTY <br />p .. <br />Donna K. Heran, R.E.H.S. <br />Director 304 East Weber Avenue, Third Floor <br />Al Olsen, R.E.H.S. Stockton, California 95202-2708 <br />c4�iFORP Program Manager Telephone: (209) 468-3420 <br />Laurie A. Cotulla, R.E.H.S: <br />Program Manager Fax: (209) 464-0138 <br />September 18, 2003 <br />Countryside Mini Mart <br />14971 N. Hwy 88 <br />Lodi, CA 95240 <br />Re: Countryside Mini Mart <br />14971 N. Hwy 88 <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 />A recent review of the underground storage tank file for the above referenced facility indicated this office has <br />not received this years testing and paperwork requirements. <br />The following information is overdue: <br />_ CCR 2711(b) &(c) Current State Forms A&B <br />_ HSC 25292.2 Certification of financial responsibility and letter from chief financial officer <br />_ CCR 2637(b) Annual monitoring certification <br />_ HSC 25284.2 Annual spill bucket/containment test <br />_ CCR 2630(d) Annual line leak detector test <br />Most forms may be accessed from our web site address, www.geocities.com/unitiii <br />In addition, this office must be notified of any test date and time within 48 hours of performing the test. <br />Furthermore, results from the testing must be sent to this office within 30 days of the test completion. Under <br />CCR 2637(b)(4) it is the owner/operators responsibility to submit test results to this office. Failure to schedule <br />the required underground storage tank testing by 10/18/03 may result in further action. <br />If you have any questions regarding this matter you may contact me at (209) 468-3yS1. <br />Thank you, <br />ennis Cata , REHS <br />Registered Environmental Health Specialist <br />