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COMPLIANCE INFO 2014 - 2015
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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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? YES [" NO [ ] <br />b. Identify contractor performing decontamination.- <br />Name <br />econtamination:Name 1A, P& Phone ( J') 3.5F --Myo 3 <br />Address '7 (1 S &-. l�'�G/ Sf City SPS},-P-�_d Zip f2gq3/ <br />c. Describe method to be used for decontamination: <br />112iPGE /2in�d�u � <br />d. Describe how rinsate material will be stored onsite prior to manifesting offsite: <br />FS ()4aov f�4e"&L- <br />e. Rinsate Hauler and permitted Treatment, Storage & Disposal Facility: <br />Hauler Name RFrmos CJ+(viRONmeXj7-*L Phone (ZoyyHauler Reg# (9S0? <br />Address 35_1'_ AJ4vy 0k, city j7-W(TO,v Zip C15 -?_0'_? <br />Permitted Disposal Site -4os 6A/ U, eo,yM "j.tL J*EeVic E J <br />a. Describe the method that will be utilized to purge and/or inert the piping: <br />Nl7'�2o(7r-W� <br />��f ��ENrE� SNt�2 fi4e v� �uSM��c ���J�� �vr` 13�/z %n Edi s <br />b. Piping Hauler.- <br />Name- <br />auler: <br />Name 6A. &e lei~ i +Z��cu�H J �`c`c�a�� Phone ?( ?&- <br />Address .f i . City Zip S g'/3i <br />Hauler Registration # (if hauled as hazardous) lVeiV - rJs ltDovs <br />c. Piping Disposal Site: <br />Name FO,ZwAr_o 1I&1(,- wJ}JTL. 1)15Pos+t_ Phone (2.2) <br />Address 99yg A Avs� �ij P_p City MAM-FES Zip gT33co <br />EPA ID# (if transported to a permitted TSD facil <br />Is the sampling firm an independent third party from the contractor? YES [.K NO [ ] <br />a. Identify sampling firm: <br />Name K_CJA1FEL DEC IA/C . Phone Loigg0 13Lfr <br />Address_ 7-06* 4%aCH •" 4)f&P02T City sl-o(k-y Zip 9,S -z0(' <br />b. Identify laboratory performing analysis: <br />Name -6 L/l 0k_',q P- Lf-/So9_47-pR_q JEP-vicE-.S Phone 000 1039 --q-30/ <br />Address City 24Ncrio G0e+yw,7-Zip <br />Describe, in detail, how the soil and/or water sample(s) beneath the piping or dispenser will be obtained: <br />S AMDt tr7 Cmc ECiE/1 !'YLC)M ? fK or 946fe- /oc 0/Z 0.1 S11+r2 S <br />W►T1y r�LremJloAk( (low,EJ,S s'fCCL- 7-U8,�7-j I&E e#Fj'r C'r(. 4A1,qLyJCJ TPHO 6j1J6 <br />131 fix, Sf}MPLCJ CoLLUcr Li L' 6cNartTii Jim , '} <br />a. Handlino of excavated soil (Contaminated Soil Hazardous Waste Hauler): <br />� f <br />Name _/D.V&W_N eHEM�cac, TR�wspoos:.Hauler Registration # n2 -w Phone (?oq) 72Z— yZ? $ --- <br />Address Z(aS R�Cgcls AV'5 City dNer2c'l[Zips <br />b. If soil is not to be hauled, describe what will be done with it: <br />IF SoiLS �,2E Noi COnrT,�M�sI9Te"">) T1fr� Witt RE Pvt- �nc1CiN C V4Tl0i,�f <br />4 <br />
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