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REMOVAL_1999 PIPING
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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BENJAMIN HOLT
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3011
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2300 - Underground Storage Tank Program
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PR0231883
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REMOVAL_1999 PIPING
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Entry Properties
Last modified
9/25/2019 9:18:52 AM
Creation date
11/5/2018 11:59:13 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
REMOVAL
FileName_PostFix
1999 PIPING
RECORD_ID
PR0231883
PE
2351
FACILITY_ID
FA0002111
FACILITY_NAME
BEN HOLT SHELL
STREET_NUMBER
3011
Direction
W
STREET_NAME
BENJAMIN HOLT
STREET_TYPE
DR
City
STOCKTON
Zip
95219
APN
10018010
CURRENT_STATUS
02
SITE_LOCATION
3011 W BENJAMIN HOLT DR
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\B\BENJAMIN HOLT\3011\PR0231883\PIPING REMOVAL 1999.PDF
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EHD - Public
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8. a. Describe the method that will be utilized to purge and/or inert the tank(s): <br />M <br />Tank/Plping Hauler: <br />Name E, C, I1 <br />Address 255 PP'R2 BLmD, City Zip <br />Phone No.( 510 ) 235-1393 <br />Hauler Registration # (if hauled as hazardous) 0019 <br />/c. Tank/Piping Disposal Site: <br />'" Iii: ! 'D, -city RicHmomp zip 948• <br />Phone No. J5( 10 ) 2;5 - 139'3 c� / <br />EPA ID# (if transported to a permitted TSD facility) CA DC094:6 F 9 2 <br />9. Is the sampling firm an Independent third party from the contractor? Y�< NO ( ) <br />9a. Describe, In detail, how the soil and/or water sample(s) beneath the tank and piping will be obtained: <br />`i <br />10. Describe how the excavation will be backfilled with suitable material upon removal: <br />11 Handling of excavated soil: <br />a) What material will be used to line the tank pit and cover the stockpile? <br />BAs -n(_ Suut,TnN:jDSL SOCKPILUD 6n9 SIM, <br />b) What will be the final destination of the excavated stockpile? <br />WIN <br />c) Glontaminated Soil Hazardous Waste Hauler. <br />Name 1—`r.Y LI• tl�Sr/1T�I,Z��' JtJ� eHaulerRegistration# 2�3 <br />Address 8$9G IELoe,2l.aenG , kw City SAcp_Am ym Zip 15828 <br />-381— .i�.4 <br />EH 23 046 (Revised 08113199) Page 5 <br />
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