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April 19, 2013 <br />Kim White <br />Elite IV Contractor's, Inc. <br />2535 Wigwam Dr. <br />Stockton, CA 95205 <br />San Joaquin .; <br />mental Health Department <br />1868 East Hazelton <br />Stockton,California1 <br />1' 1 <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 />Re: Countryside Liquor and Gas 14971 Hwy 88 Lodi, CA 95240 SR0067002 <br />The San Joaquin County Environmental Health Department (EHD) has completed the review of <br />the permit application for installing a new OPW 1 C -21 00C -DEUR cast iron w/drain spill <br />container on the 87 underground storage tank (UST) system at the above noted address. The <br />permit has been approved with the following conditions: <br />Contact the local fire department and the San Joaquin Valley Air Pollution Control <br />District for any applicable permits and requirements. <br />2. Any changes in information and scope of work must be submitted to EHD for approval <br />prior to commencing work. All new addenda supersede the previous ones. <br />3. Contact Aris Cacapit at (209) 468-3453 to arrange the following inspection appointments <br />(a 48-hour notice is required for inspection appointments). Please be aware that <br />inspections for emergency work must be scheduled within five days of permit approval. <br />a. Corrosion protection: Verify corrosion protection for direct bury spill bucket prior to <br />backfilling. <br />b. Spill bucket test: Verify minimum 5 -gallon capacity and pass a one hour hydrostatic <br />test (or equivalent). Proper drainage must also be verified. <br />Please be aware that the facility cannot receive fuel in the 87 tank prior to the EHD <br />inspection and approval. <br />4. Since concrete will be broken near the 87 UST, a secondary containment test must be <br />performed on the 87 UST once concrete is poured in accordance with the <br />manufacturer's guidelines. <br />5. Qualified service technicians must possess or work under the direct and personal <br />supervision of an individual physically present at the work site who possesses all of the <br />following: <br />a. One of several permissible valid, current contractor's licenses issued by the <br />Contractors State License Board (may be issued to the installation company), or a <br />Tank Tester's license issued to the individual by the State Water Board, and <br />