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REMOVAL_1998
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2300 - Underground Storage Tank Program
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PR0231300
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REMOVAL_1998
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Entry Properties
Last modified
5/31/2019 11:50:41 AM
Creation date
11/7/2018 11:16:45 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
REMOVAL
FileName_PostFix
1998
RECORD_ID
PR0231300
PE
2361
FACILITY_ID
FA0001858
FACILITY_NAME
MY MINI MART
STREET_NUMBER
1756
Direction
N
STREET_NAME
WILSON
STREET_TYPE
WAY
City
STOCKTON
Zip
95205
APN
11721005
CURRENT_STATUS
01
SITE_LOCATION
1756 N WILSON WAY
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\W\WILSON\1756\PR0231300\1998 REMOVAL .PDF
Tags
EHD - Public
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a. Describe the method that will be utilized to purge and/or inert the tank(s): <br />r)pv (camtiu-,- Zr �s� 30 bs <br />UST- <br />b. <br />Srb. Tank/Piping Hauler: <br />Name iy Ae, T� ld A7A�7JT- <br />Address $ f D90 LD P— U 0 P--= City :D RW 1) CV— Zip � 538 l <br />Phone No4 ) <br />Hauler Registration # (if hauled as bazardaus)--_`7 I?3 I <br />C44- <br />TankiPiping Disposal Site: <br />Name 7`r [��-r Ma I PAA <br />Address E L 0 L C city 1 I .I ��(--- ZIp <br />Phone No P - 93 7 B <br />EPA IDN (if transported to a permitted TO facility) Imo► <br />Is the sampling firm an independent third party from the contractor? YES V NO j ) <br />9a. Describe, in detail, how the soil and/or water sample(s) beneath the tank and piping will be obtained: <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 />(L. PC)L <br />b) What will be the Mal destination of the excavated stockpile? <br />!"�I,� i- �b bs , Ei �- �k-r-iti4z Com- lam t1T �4 L� <br />c) Contaminated Soil Hazardous Waste Hauler: Fhr—lU tY <br />Name jM I All, Hauler Registration N (t�c <br />Address1 gry < City Zip f 1 <br />Phone Na.�W'F) (p <br />EH 23 046 (Revised 10) 19/98) Page 5 <br />
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