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0 <br />i <br />S E M C O <br />James C. Bet eman Petroleum Services Inc. <br />431 West Hatch Road, Modesto, C95351 <br />General Engineering Building Can attar <br />License No. 449864 A, B, C 1 <br />( 209 ) 524-9653 <br />San Joaquin Local Health District <br />151,11 East Hazelton Ave. <br />StocF!tC1n, California 95205 <br />APPLICATION TO CLOSE/REMOVE <br />UNDERGROUND STORAGE TANK <br />JOB SITE ADDRESS: <br />Item 2. The site will be reported to "U.S.A" (Underground <br />Service Alert) a minimum of 48 hours prior to <br />beginning excavation of tank%. <br />Item 3. The Fire Prevention Bureau issues their permit <br />following the Health Department. It is understood <br />that the Fire Department permit will be acquired <br />prior to the tank removal. <br />Item 6. The tank and piping will be decontaminated by <br />"triple rinsing" with a 2,000 psi pressure washer <br />with a solution of biodegradable soap at a <br />temperature of 180 degrees. The rinsate and <br />residual fuel will be recycled. All liquids shall <br />be handled as hazardous waste with a manifest pro- <br />vided to S.J.L.H.D. Transportation will be su plied <br />- _ <br />-t'�'�_'Q2,._-------------------------- The <br />tanks and piping will be recycled as scrap met <br />after onto nation att .711A rL/V <br />- <br />Item 8. Sample(s) will be obtained below tank invert asper <br />the attached Sampling Protocal For Routine Tank <br />Removals. Grab method, using brass or stain -less <br />steel tubes will be employed to Collett and preserve <br />samples taken from backhoe bucket 2" below soil <br />surface. Samples will be obtained appruximat6ly 3i* <br />to 4' below tank, in native %oil. Piping runs in <br />eXr-ess of 20' shall be sampled at 201 intervals, as <br />directed by S.J.L.H.D. <br />Item 10. The tank will be purged with dry ice, using a <br />minimum of fifteen ( 15.,) pounds per l pOOO gallon tarok <br />capacity. Minimum of ten (10) pounds of dry ice will <br />be used on tanks with less than 1v000 gallon% ca- <br />pacity. Tanks will be identified with high <br />visibility paint using S.J.L.H.D. tank tracking <br />numbers. <br />