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COMPLIANCE INFO_2019
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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JACK TONE
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2300 - Underground Storage Tank Program
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PR0505264
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COMPLIANCE INFO_2019
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Entry Properties
Last modified
7/28/2021 11:41:32 AM
Creation date
3/22/2019 8:06:33 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2019
RECORD_ID
PR0505264
PE
2361
FACILITY_ID
FA0006672
FACILITY_NAME
FLYING J TRAVEL PLAZA #618*
STREET_NUMBER
1501
Direction
N
STREET_NAME
JACK TONE
STREET_TYPE
RD
City
RIPON
Zip
95366
APN
22811017
CURRENT_STATUS
01
SITE_LOCATION
1501 N JACK TONE RD
P_LOCATION
05
P_DISTRICT
004
QC Status
Approved
Scanner
KBlackwell
Tags
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 : JAN 2019 <br /> Name Phone �) <br /> Address City Zip <br /> c . Describe method to be used contamin n : <br /> d . Describe how rinsate materi ill be ed ite /pr jma ! <br /> IL <br /> e . Rinsate Hauler and permitte Treatment , ora & Disposal Facility : <br /> Hauler Name Phone Hauler Reg# <br /> Address City Zip <br /> Permitted Disposal Site <br /> 6 . a . Describe the method that will be utilized to purge and/or inert the piping : <br /> b . Piping Hauler: <br /> Name Phone �) <br /> Address City Zip <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? YES [ ] NO [ ] <br /> a . Identify sampling firm : <br /> Name Phone (_) <br /> Address City Zip <br /> b . Identify laboratory performing analysis : <br /> Name Phone (_) <br /> Address City Zip <br /> 8 . Describe , in detail , how the soil and/or water sample (s) beneath the piping or dispenser will be obtained : <br /> 9 . a . Handling of excavated soil (Contaminated Soil Hazardous Waste Hauler) : <br /> Name Hauler Registration # Phone (_) <br /> Address City Zip <br /> b . If soil is not to be hauled , describe what will be done with it : <br /> EH230038 (revised 7-26-2016 ) 4 <br />
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