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7 . See ` Sampling Protocol for Routine Tank Removals ' and 'Verification Analysis ' on page <br /> 6 and 7 of the permit application for required analytical tests and number of samples to <br /> be taken and witnessed by EHD . <br /> 8 . A copy of the Fire Department permit must be submitted at the time of removal . <br /> 9 . In addition , the following information must be submitted within 30 days after the UST <br /> removal 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 . <br /> e . Backfill Excavation Certificate . <br /> 10 . Permit expires 180 days from the date of approval . If an extension is required , a written <br /> request must be submitted to this office prior to the expiration date . <br /> If you have any further questions , please contact me at (209) 468-2986 . <br /> Thank you , <br /> Garrett Backus <br /> Lead Senior REHS <br /> t <br /> Protecting Your Health -One Inspection at a Time <br /> I <br />