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GENERAL INFORMATION: <br /> 1. Obtain an EPA Site Number from the Department of Ilealth Services (916) 324-1781 for temporary <br /> hazardous waste removal activities associated with underground storage lank (UST) removals. <br /> 2. Dlsposal Information: Public Ilealth Services 'tracking Shcet shall accompany each lank removed <br /> from site. I ank(s)will be Issued an identification number which PHS-El ID's representativewill note <br /> on the Tank 'I'mcklug Sheet. Contractor will affix same Identification number onto tank end using <br /> finorescenl spray paint. Contaminated tanks and/or piping are to be transported under Hazardous <br /> waste Manifest by a stale registered hazardous waste hauler. <br /> 3. Conitactor to Provide: Combustible/Flanuuable gas detector (to verify the Lower Explosive Limit <br /> (I.EL.)atmosphere slid oxygen level of tank prior to lifting from excavation),adequate number(s)and <br /> appropriate type(s)of fire exUngaisher(s), barriers to secure the area as necessary to minimize traffic <br /> and pedestrian interference, and fluorescent spray pains to affix tank identification numbers. It shall <br /> he the project manager's tesponsibllity for compliance with all health & safety regulations and <br /> requirements,which shall be strictly adhered to at all times during the course of the closure activities. <br /> 4 1 he PI IS-EI ID permit shall be on site during lank excavation and removal. <br /> 5. Any changes in this document shall be approved by PHS-EHD pilot to hdtialing work. <br /> 11 <br /> 6. Closure-In-l•Ince: If Closure-111-Place is the suggested method of abandonment, complete form <br /> EH 23 039 and submit written approval front the local Fire Department. <br /> 7. 'I'emtpornry Closure: If Temporary Closure Is the suggested method of abandonment, complete <br /> form Ell 23 046 Slid submit written approval from Ilse local Fire Department- <br /> 8. <br /> epartment8. The following (locuntenlation shall be submitted within 30 days of the tank removal <br /> little: <br /> li <br /> a) Anaiytiull results, mailed directly from laboratory to PIIS-EI ID,Including a chain of custody. <br /> b) Tank Tracking Record Shcel(s) and/or 'lank Hazardous Waste Manifesl(s). <br /> C) Hazardous Waste Manifests for piping, Ansate, residual fuel, or waste oil receipt. <br /> d) Submit the backfill excavation certificate as required by San Joaquin County and the <br /> Incorporated City Building Departments. 1-his report will be referred to the appropriate <br /> agency for their review. <br /> A site which has had US I'(s) removed,shall not be considered for final closure uutll the above Items <br /> me 4111)ndtled fur review. <br /> Ell 23 040 (Revised 7-IU-92) Page 2 <br />