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Pilot -Flying J #617 15237 N. Thornton Rd. Lodi, CA 95242 SR0062195 <br />8. Update and submit a copy of the "UST Monitoring Plan" for EHD approval. An approved <br />copy will be returned for on site records. <br />9. 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 />EHD. <br />10. 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) Title 23, Chapter 16, Table B for a complete list. <br />11. An accurate and drawn to scale as -built plan must be submitted to the EHD prior to <br />scheduling a final inspection. <br />12. An "Operating Permit Application — Tank Information" Form for each converted gasoline <br />tank shall be submitted by the owner or the owner's agent. <br />13. 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 Aris Cacapit at (209) 468-3453. <br />Thank you, <br />Ads Cacapit, REHS <br />Registered Environmental Health Specialist <br />3 <br />