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Q <br />0. <br />��rFOR� <br />July 23, 2012 <br />Rupinder Padda <br />Countryside Liquor & Gas <br />1301 W. Kettleman Ln. <br />Lodi, CA 95240 <br />San Joaquin r <br />1868 East Hazelton <br />RE: Countryside Liquor & Gas 14971 N. Hwy 88 Lodi, CA 95240 <br />DIRECTOR <br />Donna Heran, RENS <br />PROGRAM COORDINATORS <br />Robert McClellon, REHS <br />Jeff Carruesco, REHS, RDI <br />Kasey Foley, REHS <br />Linda Turkatte, REHS <br />SR0065181 <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 following <br />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 bottom. <br />2. Underground Storage Tanks — Tank Forms — Provide all current information, sign and date the bottom of <br />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. An <br />approved copy will be returned. Retain an approved copy of these plans onsite for future reference by <br />employees. <br />5. Report #5021: Update all information for all programs at this site including the UST and Hazardous Waste <br />programs, sign and date. Bring with all other forms to our accounting office to pay for transfer fees and the <br />$122/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.litml - rgs to obtain the current statutes <br />(Underground Storage of Hazardous Substances) and UST Regulations that you are required to have for your <br />monitoring and response plan. <br />8. Also enclosed for your information is a brochure of Best Management Practices (BMP's) for Retail Gasoline <br />Outlets that you can use as part of your BMP's for your facility. <br />9. Hazardous Materials Management Plan: Contact the EHD Hazmat Staff at (209) 468-3420 for information <br />on updating this plan. <br />10. Information and instructions for obtaining a permanent California EPA ID number: Complete the application <br />for a California Hazardous Waste Permanent ID Number and fax it to (916) 255-4703. <br />