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(lENERAL INFORMATION: <br />es <br />1. Mini" fin PPA <br />herardous wastevalactivities assudnted with <br />stenitemilltltunderg underground storage9lank (UST)lremov la s <br />Disposal InfonnnIlon: 1porary <br />2. 'ubllc I icalilt Services 'Finicking Sheer shall accompany each tank removed <br />fnnn she. '1'nuk(s) will be Issued an IJcnlltic, Ion number which PHS -EI ID's reptesentallve will Hole <br />on the "rank 'backing Shect. Comraclot will affix %nine Identification number onto lank end using <br />flnoresccul spiny paint. Contandnntcd Tanks and/or piping are to be transported under Hazardous <br />Wnsle Manifest by a sinic registered haynrdous wade hauler. <br />1. Cnnunclor to Provide: Combusliblc/I Iantroahie gas detector (lo verify the Lower Explosive Limit <br />(1.171,) ntnunsphcre and oxypcn level of Innk prior ho lifting hom excavation), adequate number(s) and <br />approprinle type(s) or Fite exlInglikllcf(s), battlers to secure the nrea as necessary to minimize traffic <br />Fond pedc%Itinn hoetfcrcnce, and tinorescent spiny paint to affix tank identification numbers. it shall <br />Ile, the project ntnnnger'% responsiblliry for compliance with nil health A safety regulations and <br />lequircnenls, which shall be sttictly Adhered to at all times during tine course of the closure activities. <br />A '1 be PI IS -EI ID penolt shall be on sloe during lank excavation and removal. <br />5. Any changes In Ills document shall be appruved by CHS-EIID prior to Initiating work. <br />G. Closure-hr-I'Ince: If Closolc- fit -Plice Is tine suggested method of abandonment, complete form <br />EH 2J U39 and submit wrlticn approval from tine local Fire Department <br />1. 'lempotnry Closure: If Tenq,otmy Closure Is the suggested melhod of abandonment, complete <br />form EI 123 Udf, and submit wrlucn approval hom the local Fite Department. <br />R. The following docunten(atioll shall be subnnilled within 30 dnys of the lank removal <br />little: <br />a) Analytical results, mailed Jitectly hum inboratoty to PIIS -EI ID, including a chain of custody. <br />b) 'Tank Tracking Record Shcel(s) and/or 'lank Ilarardous Waste Manifesl(s). <br />C) I lantnknls Waste Manifests for piping, lbnsane, residual fuel, or waste oil receipt. <br />J) Snbulit the backlill excnvalion certificate as required by San Joaquin County and the <br />Incorporaled Chy i3ullding Delia itntends. 'lids report will be reretted to the appropriate <br />agency for their review. <br />A slle which ling had 118 1'(1) removed, shall not be considered for final closure until the above items <br />me mubtidlled for review. <br />Ell 23 040 (Revised 7 -IU -92) Page 2 <br />