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SANJOAQUIN Environmental Health Department <br /> COUNTY <br /> APPLICATION FOR UNDERGROUND STORAGE TANK <br /> RETROFIT OR PIPING REPAIR PERMIT <br /> THIS PERMIT EXPIRES 180 DAYS FROM THE APPROVAL DATE. INDICATE PERMIT TYPE BELOW: <br /> N TANK RETROFIT ❑PIPING REPAIR/RETROFIT ❑UDC REPAIR/RETROFIT ❑COLD START/EVR UPGRADE <br /> F EPA Site# Project Contact&Telephone# Masood Choudhury(909)620-5962 <br /> A <br /> C Facility Name Frontier California Inc-Manteca CO Phone# (909)620-5962 <br /> 1 Address 430 W. Center Street, Manteca, CA 95336 <br /> L <br /> I Cross Street Acacia Avenue <br /> T <br /> Y Owner/Operator Frontier California Inc Phone# (909)620-5962 <br /> c Contractor Name SunWest Engineering Constructors, Inc. Phone# (888)588-8737 <br /> O <br /> N T Y Way,Contractor Address 4780 Cheyenne Wa , Chino, CA 91710 CA Lic# 703190 Class A, B, Haz <br /> AInsurer State Compensation Insurance Fund of CA Work Comp# 9243819-22 <br /> TICC Technician's Name Brandon Bowers Expiration Date 8/10/2026 <br /> R ICC Installer's Name Brandon Bowers Expiration Date 8/10/2026 <br /> Tank system work area Tank Size Chemicals Stored Currently Date UST <br /> (i.e.87 piping sump,91 leak detector,UDC 1/2,etc.) Installed <br /> Piping Sump/Fill SumpA/ault/Fuel Polisher/ 6,000 gallon Diesel <br /> T <br /> A <br /> N <br /> K <br /> P ❑ Approved Approved with conditions ❑ Disapproved <br /> L (See Attachment With Conditions) <br /> A <br /> N Plan Reviewers Name aa'-r� �Y�1'i��+cs Date <br /> APPLICANT MUST PERFORM ALL WORK IN ACCORDANCE WITH SAN JOAQUIN COUNTY ORDINANCES,STATE LAWS,AND RULES AND REGULATIONS OF SAN <br /> JOAQUIN COUNTY, ENVIRONMENTAL HEALTH DEPARTMENT. OWNER OR LICENSED AGENT'S SIGNATURE CERTIFIES THE FOLLOWING: "I CERTIFY THAT IN <br /> THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED,I SHALL NOT EMPLOY ANY PERSON IN SUCH A MANNER AS TO BECOME SUBJECT TO <br /> WORKER'S COMPENSATION LAWS OF CALIFORNIA." CONTRACTOR'S HIRING OR SUBCONTRACTING SIGNATURE CERTIFIES THE FOLLOWING: "I CERTIFY <br /> THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED,I SHALL EMPLOY PERSONS SUBJECT TO WORKER'S COMPENSATION LAWS <br /> OF CALIFORNIA." <br /> Applicant's Signature Title Vanessa Ortega Date 8/6/2025 <br /> Q BILLING INFORMATION: <br /> Indicate the responsible party to be billed for additional EHD staff time expended beyond permit payment coverage per <br /> tank. If the party designated below is different than the permit applicant, e.g. property owner, the party must <br /> acknowledge this responsibility for the billing by signature and date below. <br /> NAME Vanessa Ortega TITLE Project Manager PHONE# (909)536-6458 <br /> ADDRESS 4780 Cheyenne Way, Chino, CA 91710 <br /> SIGNATURE DATE 8/6/25 <br /> 2 of 6 <br />