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COMPLIANCE INFO 2018
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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25775
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2300 - Underground Storage Tank Program
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PR0231708
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COMPLIANCE INFO 2018
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Last modified
5/14/2019 2:26:33 PM
Creation date
2/26/2019 12:19:10 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2018
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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5. Decontamination Procedures: <br /> a. Will piping be decontaminated prior to removal? YES`( NO <br /> b. Identify contractor performing decontamination: <br /> Name ���s 1Py�V ir4y)rAtkA 1I lY\L Phone 6-1a) <br /> Address 3330 62M Dov,) 77-, CInJe-6' i3 D City YDr 04ip <br /> c. Describe method to be used for decontamination: <br /> d. Describe how rinsate material will be stored onsite prior to manifesting offsite: <br /> 0 C' �1 dry( 7�rrt rn C G i ]A 61 C) '7n�rif <br /> e. Rinsate Hauler and permitted Treatment, Storage&Disposal Facility: EPA ID CAD983653627 & MC CA0109650 <br /> Hauler Name (A3 �� 1 Phone (� -� 0 Hauler Reg# PT <br /> 3175 <br /> nd <br /> Address 930 MPA &t� City ZIP <br /> Permitted Disposal Site Crosby an Overton 1610 W 17th St., Long Beach, CA 90813 P:562-432-5445 <br /> 6. a. Describe the method that will be utilized to purge and/or inert the piping: / <br /> li: Piping Hauler: <br /> Name Phone <br /> Address City Zip i <br /> Hauler Registration#(if hauled as hazardous) <br /> c. Piping Disposal Site: <br /> Name Phone(� <br /> Address 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? YESQ� NO[] <br /> a. Identify sampling firm: �` ,, / _ / ' <br /> Name S AbL S 7/Y1�Yor M Vo �- L'1 e-- Phone(Cj 3 0) <br /> Address 333 C-answyk PAYk 9YiVf=,tSh53Q CityCarnt,Vv, Pa,,kzip q.�6 2- <br /> b. Identify laboratory performing analysis: <br /> Name �h6t an9l.Y 1� Phone(q/O _36'6- 900 <br /> Address qo2 , Pn'AL_4"6'`/ —City <br /> 8. Describe, in detail, how the soil and/or water sample(s)beneath the piping or`dispenser will be obtained: <br /> SnA iv ck <br /> �e�vv���Y'�►ham- �1"�J,� 4��wr�.e,�w;W� 31�'� ��\\ �� J.r�v��. :.•:\v Sri\ � C�ile�•.f- <br /> 9. a. Handling of excavated soil (Contaminated Soil Hazardous Waste Hauler <br /> Name Integrated WasteStream Mgmt., Hauler Registration# DTS 3175 Phone (408)813-9428 <br /> Address 930 Ames Ave. City Milpitas Zip 95035 <br /> b. If soil is not to be hauled, describe what will be done with it: <br /> If soil is not contaminated from lab results it will be send to nearest dump. <br /> W <br /> 1 _-CE1 <br /> fD' <br /> EH230038(revised 7-26-2016) 4 <br /> i <br /> ENVIRONMENI:AL <br /> HE . T; 1,EPARTMFN1 <br />
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