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COMPLIANCE INFO 2014 - 2015
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0516526
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COMPLIANCE INFO 2014 - 2015
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Last modified
5/28/2019 11:15:30 AM
Creation date
10/19/2018 3:11:55 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO 2014 - 2015
FileName_PostFix
2014 - 2015
RECORD_ID
PR0516526
PE
2361
FACILITY_ID
FA0012659
FACILITY_NAME
LOVE'S COUNTRY STORES OF CALIF #223
STREET_NUMBER
1553
STREET_NAME
COLONY
STREET_TYPE
RD
City
RIPON
Zip
95366
APN
24534024
CURRENT_STATUS
01
SITE_LOCATION
1553 COLONY RD
P_LOCATION
05
P_DISTRICT
005
QC Status
Approved
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KBlackwell
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EHD - Public
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5. Decontamination Procedures: <br />a. Will piping be decontaminated prior to removal? <br />b. Identify contractor performing decontamination: <br />Name <br />Address <br />c. Describe method to be used for decontamination: <br />YES[] NO[] <br />Phone (� <br />City Zip <br />d. Describe how rinsate material will be stored onsite prior to manifesting offsite: <br />e. Rinsate Hauler and permitted Treatment, Storage & Disposal Facility: <br />Hauler Name _4oA#)mLHrv►«4t�}' JfY«r` Phone 2C ?L�- az, Hauler Reg# LiQ Z <br />Address 4&7 do City MER' c -o Zip `iF3,11 <br />Permitted Disposal Site 41%%M(U) CHcMir4L, Dar 1nl(. <br />6. a. Describe the method that will be utilized to purge and/or inert the piping: <br />b. Piping Hauler: <br />Name Phone( <br />Address City Zip <br />Hauler Registration # (if hauled as hazardous) <br />c. Piping Disposal Site: <br />Name Phone (� <br />Address City <br />EPA ID# (if transported to a permitted TSD facility) E G <br />7. Is the sampling firm an independent third party from the contractor? YES [ ] J U ��[ 1014 <br />a. Identify sampling firm: <br />Name Phone <br />Address City JNA -LTH <br />b. Identify laboratory performing analysis: <br />Name Phone <br />Address City Zip <br />8. Describe, in detail, how the soil and/or water sample(s) beneath the piping or dispenser will be obtained: <br />9. a. Handling of excavated soil (Contaminated Soil Hazardous Waste Hauler): <br />Name Hauler Registration # Phone (� <br />Address City Zip <br />b. If soil is riot to be hauled, describe what will be done with it; <br />4 <br />
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