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2900 - Site Mitigation Program
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PR0542421
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SITE HISTORY
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Last modified
6/21/2019 11:42:13 AM
Creation date
6/21/2019 10:07:51 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE HISTORY
RECORD_ID
PR0542421
PE
2950
FACILITY_ID
FA0024377
FACILITY_NAME
COUNTRY CLUB BLVD/295950
STREET_NUMBER
1876
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
APN
12319101
CURRENT_STATUS
01
SITE_LOCATION
1876 COUNTRY CLUB BLVD
P_LOCATION
01
QC Status
Approved
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EHD - Public
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Jim Thorpe oil , Inc. <br /> 351 N. Beckman Road • P.Q. Box 357 0 Lodi, CA 95241 <br /> 1209? 368-6175 * (209) 462-4581 <br /> t7w, Contractor's License 1495699 <br /> - November 8, 1988 <br /> San �.loaquin Loral Health nistric:t <br /> 1601 L. Hazelton Avenue <br /> P. 0. Box 2009 <br /> Stockton, CA 95201 <br /> r Re: Permanent. (;Ir:r,;urFii�r�l` Removal !''ldns- <br /> 1. Nner/Operator : Manuel Sanchez 464-1291 <br /> 'Facility address: 1876 Country_ Club Blvd. ,.._, Stec kton _GA _ <br /> ---- ---___ <br /> 2, IParcel plot plan shouting tank(s) to be removed attached. <br /> :3. :Contractor Name.: JIM, T>-i IRPE. 0H. , <br /> Contractor Classification: A . <br /> Contractor License Number: 495699 <br /> Certificate pf workers ' compensation insurance on file in your office. <br /> 4. Tank # on plotan _ Tank_Size Products currently or previously stored <br /> 348 11000~� Unleaded gasalinP <br /> 349 11000 Leaded regular gasoline _ <br />` 5. Laboratory that wi it collect soil- samples T��ni� <br /> • signed "Release of information Authorization' is attached. <br /> fi. Method of disposal of all residual liquid, solids , car sludges , if applicable: <br /> tanks are empty of residuals. <br /> 7. .The tanks will be purged of all flarmable vapors to preclude explosion or to <br /> 'levels specified by existing regulations by_ inserting dry ice @ 15 lbs—per _ <br /> 1 ,000 dal l ons <br /> 8. Method of disposal or reuse: tanks -will�be tr^ansported�to.SchnitzerrSteel - - <br /> Products, 12 ,000 Folsom Blvd. , Rancho Cordova, CA for disposal . <br /> iH ' <br />
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