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S E M C D <br />James C. Bateman Petroleum Services Inc. <br />431 West Hatch head, Modesto, CA 95351 <br />General Engineering Building Contractor <br />License No! 449564 A, B, C-61 <br />(209) 524-9659 <br />Scar.? Joaquin Local Health District <br />1501 East Hazelton Ave. <br />Stockton, California 95EO5 <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 tanks. <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 8. 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 1@0 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 o S.J.L.H.D. Transportation will be supplied <br />_ <br />The <br />tanks and piping will be rec.ycled�as -scrap metal <br />after deconta ination t: <br />Item 8. Sample(s) will be obtained below tank invert as per <br />the attached Sampling F=rotocal For Routine Tani, <br />Removals. Grab method, using brass or stain -less <br />steel tubes will be employed to collect and preserve <br />samples taken from backhoe bucket 2" below soil <br />surface. Samples will be obtained apprvximcately 3' <br />to 4' below tank, in native soil. Piping runs in <br />excess of 20' shall be sampled at 20' 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 1,000 gallon tank <br />capacity. Minimum of ten (10) pounds of dry ice will <br />be used on tants with less than 1,000 gallons ca- <br />pacity. Tanis will be identified with high <br />visibility paint using S.J.L.H.D. tank tracking <br />numbers. <br />