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1 • <br /> S E M C O <br /> James C. Bateman Petroleum Services Inc . <br /> 431 West Hatch Road, Modesto , CA 95351 <br /> General Engineering Building Contractor <br /> License No . 449864 A, B, C-61 <br /> (209) 524-9653 <br /> San Joaquin Local Health District <br /> 1501 East Hazelton Ave. <br /> Stockton, California 95205 <br /> APPLICATION TO CLOSE/REMOVE <br /> UNDERGROUND STORAGE TANK <br /> JOBSITE ADDRESS: <br /> Item 2. The site will be reported to "U.S.A" (Underground <br /> Service Alert ) a minimum of 46 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 6. The tank will be decontaminated by "triple rinsing" <br /> with a 2,000 psi pressure washer with a solution of <br /> biodegradable soap at a temperature of 180 degrees. <br /> The rinseate and residual fuel will be recycled . <br /> All liquids shall be handled as hazardous waste with <br /> a manifest provided to S.J.L.H.D. Transportation <br /> will be supplied by Allied Petroleum. THE TAnJKS IANO <br /> f� V(NG WILL 6E 9 CyC E/() F}S S(2Ayo MLT-(AL ViH 1-�Vin) <br /> Er <br /> r11 (,(-S OF RICHrn1)IJ 0 CA /F. FT�dZ 0& VD;,) am1,•)Ano�1, <br /> Item B. __-2 --sample(s ) will be obtained below tank inverts. <br /> Grab method, using brass or stainless steel tubes <br /> will be employed to collect and preserve samples. <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. <br />