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GENERAL INFORMATION: <br /> 1. Obirin an EPA Site Number from ttte Department of Health Services (916) 324-1781 for temporary <br /> hmardous waste removal activities associated with underground storage tank (UST) removals. <br /> 2. Disposal Information: Public I lealth Services Tracking Sheet shall accompany each lank removed <br /> from site. Tank(s)will be Issued an Identification number which PHS-EHD's representative will note <br /> on the Tank 'Tracking Sheet. Contractor will affix same identification number onto tank end using <br /> fluorescent spray paint. Contaminated tanks and/or piping are to be transported under Hazardous <br /> Waste Manifest by a state registered hazardous waste hauler. <br /> 1. Contractor to Provide: Conrbustible/Pianuuable gas detector (to verify the tower Explosive Limit <br /> (LEL)atmosphere and oxygen level of tank prior to lifting front excavation), adequate number(s)and <br /> appropriate type(s)or fire extinguisher(s), barriers to secure the area as necessary to minimize traffic <br /> and pedestrian Interference, and fluorescent spray paint to affix tank Identification numbers. It shall <br /> be the project manager's responsibility for compliance with all health & safety regulations and <br /> requirements,which shall be strictly adhered to at ail times during the course of the closure activities- <br /> 4 'Hw PI IS-El ID perndt shall be on site during tank excavation and removal. <br /> 5. Any changes in fids document shall be approved by PHS-EI ID prior to Initiating work. <br /> A <br /> 6. Closure-In-Pince: If Closure-in-Place Is the suggested method of abandonment, complete form <br /> EH 23 039 and submit written approval from the local Fire Department. <br /> 7. 'Tentpcwnry Closure: If'Temporary Closure is the suggested method of abandonment, complete <br /> fort Ell 23 046 and submit written approval from the local Fire Department. <br /> S. Tile following documentation shall be submitted within 30 dnys of the tank removal <br /> (Inlet <br /> R) Analytical results, milled directly bout laboratory to PHS-EI ID,Including chain ofcuslody. <br /> b) Tank Tracking Record Sheel(s) and/or Tank Hazardous Waste Manifest(s). <br /> C) I Invardoos Waste Manifests for piping, rinsate, residual fuel, or waste oil receipt. <br /> III Submit the backfill excavation certificate as required by San Joaquin County and the <br /> Incorporaled City Building Departments. Ibis report will be referred to the appropriate <br /> agency for their review. <br /> A site which Inns hnd US"I'(s) removed,shall not be considered for flnnl closure until tire above Items <br /> toe suirinllied ror review. <br /> Ell 23 040 (Revised 7-10-92) Page 2 <br />