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SAN J O A Q U I N Environmental Health Department <br /> ;I Y <br /> ARCO 07049, 800 E KETTLEMAN LN, LODI, CA 95240 SR0080535 <br /> 6. A copy of the submitted "Health and Safety Plan" must be on the jobsite for review. <br /> 7. See `Sampling Protocol for Routine Tank Removals' and 'Verification Analysis' on page 6 and 7 <br /> of the permit application for required analytical tests and number of samples to be taken and <br /> witnessed by EHD. <br /> 8. Notify the appropriate Fire Department in advance of this tank removal operation, a copy of the <br /> approved fire permit must be available onsite at the time of inspection. <br /> 9. In addition, the following information must be submitted within 30 days after the UST removal <br /> date: <br /> a. Analytical results: only results that come directly from a third party California certified <br /> laboratory with affixed chain of custody will be accepted by EHD <br /> b. UST Tracking Record Sheet and/or Tank and Piping Hazardous Waste Manifest <br /> c. Tank Closure Certification Form (DTSC Form 1249) <br /> d. Hazardous Waste Manifest for rinsate and residual product, disposal records for piping, spill <br /> containers and sumps <br /> e. Backfill Excavation Certificate <br /> 10. Permit expires 180 days from the date of approval. If an extension to the expiration date is <br /> required, a written request must be submitted to this office prior to the expiration date. <br /> If you have any further questions, please contact me at(209) 953-7699. <br /> Thank you, <br /> Elena Manzo, Lead Sr. REHS <br /> Lead Senior Registered Environmental Health Specialist <br /> cc: BP WEST COAST PRODUCTS LLC, PO BOX 6038, ARTESIA 90702 <br /> 2 <br />