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REMOVAL_1999
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0231341
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REMOVAL_1999
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Last modified
9/15/2021 11:13:17 AM
Creation date
11/5/2018 3:47:51 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
REMOVAL
FileName_PostFix
1999
RECORD_ID
PR0231341
PE
2361
FACILITY_ID
FA0003629
FACILITY_NAME
ARCO STATION #434*
STREET_NUMBER
501
Direction
W
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95240
APN
03119028
CURRENT_STATUS
02
SITE_LOCATION
501 W KETTLEMAN LN
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\K\KETTLEMAN\501\PR0231341\REMOVAL 1999.PDF
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EHD - Public
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& a. Describe the method tbat will be uditd to ounce and/or Inert the tank(sy <br /> 30LR try 1L E PE-t� 100o LaNLwo OF LS 1- 'R <br /> An11 s Ritiu � El\ r, i �1Z C-.2tR rs PASS dam= ARFI,, �Q 71*.NK o <br /> �0 \K 07 e, RA-,p\p ev ivPo�� u�1 <br /> b ank/Hping Hauler. <br /> Name R. r \ <br /> Address ? r, F, -a� L-V� aty-R� c\1 zlp_�4P,01 <br /> Phone Nol <br /> Hauler Registration 0(if hauled as hazardous) ) 5 3 <br /> C. Tank/Plping Disposal Site: <br /> Name L= C \ <br /> Address2.5 city Z\I',,woo-�\ 21p <br /> Phone N Sw 1 b <br /> EPA IDM(it transported to a permitted TSD faciltyi L \�b(> 9 4 �o Z <br /> 9. Is the sampft firm an Independent third patty from the contractor? us)( <br /> NO I 1 <br /> 9a. Describe,In detall,how the sell and/or water sample(s)beneath the tank and pipingwill be obtained <br /> �XC: N\IN7E V\\ 7\1 r\< 1-lcF 5 �M1�LtS Zr, � � T �K �IV <br /> Ik\\7h 7 �\\ 1--, <br /> 10. Describe how the excavation will be backfilled with suitable material upon removal• <br /> \ 4-kZs„Z 7 L \ \rtN L Lr\3 ��EK <br /> 1L Handling of excavated sell: <br /> a)What material will be used to line the tank pit and cover the stockpile? <br /> b)What will be the final destinatIon of the excavated stockpile? <br /> EC \ <br /> e)Contaminated soil Hazardous Waste Hauler. <br /> Name �-- C \ Hauler Reglstradon0 CM\ ()C) �� 2 <br /> Andreas G City R\C\�Mo pJ L ap 4 A U l <br /> Phone No.( P� <br /> M 23 046(Revised 1[119198) Page 5 <br />
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