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OENERAL INFORMATION: <br /> 1. Obtain an EPA She Number from the Department of Health Services (916) 324-1781 for temporary <br /> hazardous waste removal activities associated with underground storage tank (UST) removals. <br /> 2. Disposal III fornmlloll: Public Iiealtit Services Tracking Sheet shall accompany each tank removed <br /> from site. 'I'sok(s) will be issued nn Identification amuber which Pt IS-El rel resentalivewill note <br /> on the Tank '1'mcking Shect. Contractor will affix same identification number onto tank end using <br /> fluorescent spray paint. Contaminated lanky and/or piping are to be transported under Hazardous <br /> Waste Manifest by a state registered hazardous waste harder. <br /> 3. Contractor to Provide: Combust iblc/FIs"l'liable gas detector (to verify the Lower Explosive Limit <br /> (I.F.,L) Atmosphere nod oxygen level of lank prior to lifting from excavation),adequate number(s)and <br /> Appropriate lypc(s)or fire exibrguisher(s), barriers to secure the area as necessnry to minimize traffic <br /> and pedesttian Interference, and Iluurescent spray paint to affix tank identification numbers. It shall <br /> he the project mannger's responsibilhy for compliance with all health art safety regulations and <br /> tequiremenls,which shall be strictly adhered to at all times during the course of the closure activities. <br /> 4 Tire PI IS-EI ID permit shnll be on site during tank excavation and removal. <br /> 5. Any changes in this document shall be approved by PHS-EMD prior to Initiating work. <br /> 6. Closure-ht-I'Ince: If Closure-In-pince Is the suggested method of abandonment, complete form <br /> Ell 23 039 and submit written approval from the local Fire Department. <br /> 7. 'I'empornry closure: If'I'emporaty Closure Is the suggested method of abandonment, complete <br /> form Ell 23 046 and submit written approval from the local Fire Department. <br /> 8. The following docuulentation shall Ire submitted within 30 days of lite tank rernovol <br /> (Intel <br /> a) Analytical results, mailed directly from laboratory to PIIS-EHD,Including a chain of custody. <br /> b) Tank Tricking Record Sheet(s) and/or Tank Hazardous Waste Manifest(s). <br /> C) 11a7ardoas Waste Manifests for piping, rlrsale, 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. TIAs report will be referred to the appropriate <br /> agency for their review. <br /> A site which Ims had 115'1(x) removed,shall not be considered for final closure until the above items <br /> nre subt"ll(ed for review. <br /> FII 23 040 (Revised 7-10-92) Page 2 <br />