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1868 E. Hazelton Ate., Stockton, CA 95205
<br /> Blackwell, Kimberly [EHD] phone (2o9) 616-3043
<br /> fax(200468-3433
<br /> Frain: Rob Sills <rsills@jonescoveycom>
<br /> Sent: Wednesday, March 15, 202312:37 PM 'Test nol(pmliohtsprdlest resuRsahould lx sentlothe'peneml US7'emaik una .daov.
<br /> To: Rivera, Stacy [EHDI; Saetern, Kristina Gaen IEHD]
<br /> Cc: Steven Roule; Bruno Espinoza; Helly Mendez *NOTE* I will be out of office every other Friday. If you are unable to reach me on those days and need to speak to someone
<br /> Subject: RE: SR0086196 - 1501 N. Jack Tone Rd, Ripon - Approval Immediately, please cal l (209) 468-3420 or em all our UST ema R address.
<br /> Attachments: PRO505264-1501 lack Tone - 2023 Compliance.pdf; 02 - SJCEHD UST App pkg.pdh 02 - February 3, 171 March 3, 17, 311 April 141281 May 12, 26
<br /> Permit Drawing - Added Scope.pdf; 2257822 - Work Order - Addd Scope.pc f END will be dosed for the holidays; on:
<br /> February 201 May 291 July
<br /> Hi Stacy,
<br /> Regarding our permit (Permit SRO086196, attached #i) with scope pertaining to replacement of the annular riser at T4
<br /> 87,
<br /> During the project our team performed annular riser replacement also/additionally at T-1 Diesel, and T-5 91.
<br /> I've added the scope the to the permit drawing, App pages 2 & 3, and the SR Form (Please see attached #2,3,4)
<br /> Can you let me know if this will be sufficient to request and addendum to add this scope to our permit? Or what will we
<br /> need to provide for this?
<br /> Thank you for your time,
<br /> �oCart Stfld
<br /> O (ONES COVEY GROUP, INf.
<br /> 9595 Lunn R3ncb Road ally
<br /> Rancho ceca,mn;a, U 91730
<br /> nd 6) 9727591 Me
<br /> (714) 975.4257 Cell
<br /> rs8e3Knasegeycm
<br /> From: Rivera, Stacy [EHD) <srivera@sjgov.org>
<br /> Sent: Wednesday, February 22, 202312:50 PM
<br /> To: Rob Sills <rsilis@jc nescovs y.com>; joey.cupp@pilottravelcenters.com
<br /> Cc: Saetern, Kristina Gaen [EHD) <ksaetern@sjgov.org>
<br /> Subject: SR0086196 - 1501 N. lack Tone Rd., Ripon - Approval
<br /> Hello,
<br /> Your approved permit application is attached. Please respond (via email) to confirm that it was received.
<br /> Please let me know if you have any questions.
<br /> Thankyou,
<br /> Stacy Rivera
<br /> /cud Sr. Heyisfered Enuironnzenlai Health Specialist
<br /> San Joaquin County Environmental Health Department
<br /> 1 z
<br /> SAN JOAQUIN Environmental Health Department SAN JOAQUIN Environmental Health Department
<br /> ---COUNTY-- Jaslit Kang, REHS, Director COUNTY----
<br /> , Munlappa Nsidu, REHS, Assistant Director
<br /> PROGRAM COORDINATORS
<br /> JM eanuesco, REHS. RDI
<br /> way N9, REHS
<br /> s:nen stat, REHS 4. Any individual performing the work of a service technician must meet the following
<br /> Weille Harry, REHS
<br /> EMna Manua, RENS qualifications:
<br /> February 22, 2023 a. Possess or be employed by a person who possesses one of several permissible valid,
<br /> current contractor's licenses issued by the Contractors Slate License Board (may be
<br /> Rob Sills issued to the installation company), or a Tank Tester's license Issued to the Individual by
<br /> Jones Covey Group, Inc the Slate Water Board
<br /> 9595 Lucas Ranch Road #100 b. Possess or work under the direct and personal supervision of an Individual physically
<br /> Rancho Cucamonga, CA 91730 present at the work site who possesses a valid, current California UST Service Technician
<br /> mills@jonescovey.com certificate issued by the International Code Council (ICC)
<br /> c. Possesses a valid, current certificate of training from the manufacturer(s) of the
<br /> component(s) being tested, repaired, or serviced
<br /> Re: Pilot Travel Centers, LLC SR0006196 5. Individuals installing underground storage tank system components must ssess or work under
<br /> 1501 N Jack Tone Rd, Ripon, CA 95366 the direct and personal supervision of an individual physically present at the work site who
<br /> The San Joaquin County Environmental Health Department (EHD) has completed to review of the possesses all of the following:
<br /> application for a permit to do the following on the underground storage tank (Ua. A valid, current contractor's license Issued by the Contractors State License BoardST) system al the above b. A valid, current UST Installation/Retrofitting certificate Issued by the International Code
<br /> noted address: Council (ICC)
<br /> • Repair Dispenser #26 after vehicle Impact c. A valid, current certificate of training from the manufacturers) of the component(s) being
<br /> Installed
<br /> The permit has been approved with the following conditions:
<br /> 6. The tank owner cur operator shall log into to California Environmental Reporting System
<br /> 1 . Contact the local fire department, the San Joaquin Valley Air Pollution Control District, and the (CERS) at htlp:licem.celepa.ca.gov/ and ensure all UST information Is current.
<br /> San Joaquin County Community Development Department for any applicable permits and
<br /> requirements. 7. 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 /> 2. Any changes in Information and scope of work must be submitted to EHD for approval prior to Regulations (CCR) Title 23, Chapter 16, Table B for a complete list.
<br /> commencing work. All new addenda supersede to previous ones.
<br /> 8. Permit expires t days from the date of approval. If an extension to expiration date Is
<br /> 3. Provide written notification to uslldsi0ov.orD to arrsnge the following appointments to 48-hour i required, a writtenn request must be submitted to this office prior to the expiration date,
<br /> notice is required for Inspection appointments).
<br /> a. Verification of the dispenser footprints contained by the under- dispenser containment I If you have any further questions, please contact me at (209) 616-3045.
<br /> sumps (UDCs). Any potential leaks from piping and fuel filters must drain directly Into
<br /> UDCs. Thank you,
<br /> b. Sensor functionality in #26 UDC and satellite #26: Functionality of the monitoring
<br /> system must be verified to ensure that monitoring lies been restored to meet to I
<br /> requirements of Title 23 California Code or Regulations and Health & Safely Code. L� -
<br /> a Visual Inspection of the product piping within the #26 dispensers and 926 satellite.
<br /> d. Primary piping test diesel product and satellite pipe: Soap lest of all piping joints and Kristine Sa stent
<br /> penetrations (product, vapor recovery, vent, and chase), and pressure testing — Environmental Health Specialist
<br /> hydrostatically at 15046 of design operating pressure or pneumatically at 110% of
<br /> operating pressure. If the calculated test pressure Is less than 40 psi, 40 psi shall be used
<br /> as the lest pressure. Testing must be conducted In accordance with manufacturer Cc: Joey Cupp; Joey.CuppOipilothaveicenters.cem
<br /> specifications and California Code of Regulations (CCR) Title 23.
<br /> e. Secondary piping test of the diesel product and satellite pipe: Soap test or all piping and
<br /> penetrations (product, vapor recovery, vent, and chase), and pressure lest, in accordance
<br /> with manufacturer specifications.
<br /> It, Integrity testing of #26 UDC sumps, in accordance with manufacturer specifications.
<br /> 1868 E. Hazelton Avenue I Stockton, California 962051 T 20946834201 F 209 464-0138 1 www.algamorglehd 2o12
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