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4,06-1998 8=55AM FROM AIT SACRAMENTO 916 635 2606 • <br /> r. n <br /> fl, GENERAL INFORMATION: <br /> 1. Obtain an EPA Site Number from the Department of Toxic Substances Control UC ls. <br /> temporary hazardous waste removal ac6vi6es assaeiawd with uudergrouad Storagetank(UST) ic <br /> 2. Disposal Information: Public Health Services Underground Storage Tank Disposition Traelcing Record <br /> (UST Tracking Reeved, page 10) shall accompany each tank removed from site. Tank(s) will be ISSUed <br /> I Record. <br /> an identification number which PHS-EHD's representanve will Dote on the UST Tracking <br /> Contractor will affix same identi5tationnumber onto tank end using fluorescent spray paint• Comamtnated <br /> tanks and/or piping are to be transported under Hazardous Waste Manifest by a state registered Iwzardous <br /> waste bailer. <br /> 3. COmraetOr to Provide: CombustiblefRammable gas detector(to verify the Lower Explosive Limit(LEL) <br /> atmosphere acid oxygen level of tank prior to lifting from excavation),ad xluat <br /> e nnmber(s)and appropriate <br /> type(s) <br /> of fire exunguisber(s), barriers 1a secure he area as necessary to minimize traffic and pedestrian <br /> interference, and fluorescent spray paint to affix tank identifrtation.timbers. It shah is the project <br /> manager's responsibility for compliance with all health&safety regulations and requirett ' which shall <br /> be strictly adhered to at all times during the course of the closure activities. <br /> 4 The PHS-EHD limmit shall be on site during tank excavation and removal. <br /> 5 Any changes in this document shall be approved by PHS-END prior to iniriating work. <br /> aban <br /> 6. EH 23 03039 and submit written approval from the !local Fie D p tartmendorjIDeIIt,complete form <br /> 7. Temporary Closure: If Temporary Closure is the suggested method of abandonment. complete <br /> and submit this form and a written approval from the local Fire Departmextt. <br /> &. The fono-Aing doc"MeuttaWn shall be subivAted within 30 bays of the task remavatl <br /> date= <br /> a) Analytical results,mailed directly from laboratory to PHS-ERD, including a drain of custody and <br /> quality assurance and quality control (QA &QC). <br /> b) UST Tracking Record Slmct(s)andlor Tank Hazardous Waste Martifest(s), <br /> c} Hazardous Wase Manifests for piping, ri ww'residual fuel,or waste oil receipt• <br /> ation certificate as required by Sao Joaquin County and the incorporated <br /> d1 Sueburzit the baekSll excav <br /> City Building Departments. This report will be xefexzed o the appropriate agency for their <br /> review. <br /> A site which has had UST(s) removed,shall not be considered for final closure until the above items <br /> are submitted for review. <br /> I[I. SITE MITIGATION: <br /> 1, In the event contamination is observed. mn�r �=a workp and suspecmd o9 a to PH'S result of <br /> Site Migation U prior <br /> the responsibility of the owner or opera <br /> to initiating any assessment or rcmEdiation activities. To minimize delays, a Corrective Action Plan may <br /> be submitted concurrent with took cposure or nstallationplans. Address one copy of the C:orreative Acxion <br /> Plan to the Site Mitigation Unit far review. For further assistance contact the Site Mitigation Unit at(2b9) <br /> 468-3450, page 2 <br /> EH 23 046 !Rev iwd.9/11/90 <br />