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COMPLIANCE INFO 2003 - 2009
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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PR0231708
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COMPLIANCE INFO 2003 - 2009
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Last modified
5/14/2019 1:40:16 PM
Creation date
2/13/2019 2:56:17 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2003 - 2009
RECORD_ID
PR0231708
PE
2361
FACILITY_ID
FA0003619
FACILITY_NAME
ARP MINI MART CORP
STREET_NUMBER
25775
Direction
S
STREET_NAME
PATTERSON PASS
STREET_TYPE
RD
City
TRACY
Zip
95376
APN
20910004
CURRENT_STATUS
01
SITE_LOCATION
25775 S PATTERSON PASS RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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KBlackwell
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EHD - Public
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Mar 31 09 11:30a Reliable PetroleumA 209-845-8953 p.48 <br /> 5- Decontamination Procedures: <br /> Pr a. Will piping be decontaminated prior to removal? <br /> b. Identify contractor performing decontamination: YES [j NO j <br /> Name <br /> (—� <br /> Address Phone <br /> City zip <br /> c. Describe method to be used for decontamination_ ~� <br /> d. Describe how rinsate material will be stored onsite prior to manifesting offsite: <br /> e. Rinsate Hauler and permitted Treatment, Storage& Disposal Facility: <br /> !-Hauler Name Phone <br /> (—.—_.} Hauler Reg# <br /> Address — <br /> Permitted Disposal Site City Zip <br /> 8. a. Describe the method that will be utilized to purge and/or inert the piping: <br /> b. Piping Hauler: <br /> Name Phone { } <br /> Address <br /> City Zip <br /> Hauler registration#(if hauled as hazardous) <br /> c. Piping Disposal Site: <br /> Name <br /> {�) <br /> Address Phone <br /> City Zip <br /> EPA ID#(if transported to a permitted TSD facility) �'- <br /> 7. Is the sampling firm an independent third party from the contractor? YES [] NO I <br /> a. Identify sampling firm.- <br /> Name <br /> irm:Name <br /> ( <br /> Address Phone <br /> b. Identify laboratory performing analysis: City Zip <br /> Name Phone <br /> Address <br /> City Zip <br /> 8. Describe, in detail, how the soil and/or water sample(s) beneath the piping or dispenser will be obtained: <br /> N' 4 <br /> L <br /> 9. a. Handling of excavated soil (Contaminated Soil Hazardous Waste Hauler): <br /> 11f I Name Hauler Registration# Phone <br /> J Address C4 Zip <br /> Zip <br /> b. If soil is not to be hauled, describe what will be clone with it: <br /> 3 <br />
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