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Nr� N./ <br />GENERAL INFORMATION: <br />I. Obtain EPA Site Number room the Department of Health Services (916) 324-1781 for temporary <br />hamtdous waste removal activities associated with underground tank removals. <br />2. Disposal Information: Public Hcahh Service.0'racking sheet will accompany each tank removed from <br />she. 9'ank(s) will be issued an idetificalion number which PHS-EHD's representative will note on <br />using <br />the Tank Tracking Slicer and Contractor will affix same ID Number onto tank end fluorescent <br />spray paint Conlantinaled lank/piping are w be transported under Hazardous Waste Manifest by a <br />registered hazardous waste hnuicr. <br />3. Contractor hr Provide: Combustible/Flanunable gas detector to verify the Lower Explosive Limit <br />(1,EL) atmosphere and oxygen level of tank prior to lifting from excavation, adequate number and <br />appropriate type(s) Or fire eXtlnguisher(s), barriers to secure (Ile area as necessary to minimize traffic <br />and pedestrian interference, and fluorescent spray paint to affix tank(s) identification number. It shall <br />h all health & safely <br />ons and <br />rte iuitreme tscwhich shall be strictly adhered to at all times during the course of the closure activities. <br />4 'I he PI IS-EHD permit shall be on site during excavation and removal. <br />5. Any change,', in this document must be approved by this department prior to Initiating work. <br />6. Closure-In-l9nce: If Closure -in -Place is tine suggested method of abandonment; complete form <br />EI 12.1 039 and submit wrillen approval from the local Fire Department. <br />7. 'Temporary Closure: If 'I'cmporary Closure is the sugge,stcd method of abandonment; complete <br />form EH 23 046 and submit written approval from the local Fire Department. <br />R. 1'hc following shall tic submitted 30 days after lank renloval date: <br />a) Analytical results with a chain of custody. <br />h) 'tank Tracking Record Sheet(s) and/or l-lazardous Waste Manifest(s). <br />c) I lazarlous Waste Manifests fur otnsate, residual fuel, waste oil receipt, and piping. <br />d) Submit a compacliou report as required by San Joaquin County and Its incorporated City <br />Building Departments. 'Phis report will be referred to the appropriate agency for their <br />review. <br />A ;lie which has had US I'(s) removed, shall mol be considered fur closure unlll the nlmve items are <br />submitted for review. <br />Page 2 <br />L•1123 040 (Rev 3/20/91) <br />