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COMPLIANCE INFO 2017 - 2018
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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PR0231435
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COMPLIANCE INFO 2017 - 2018
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Last modified
8/5/2019 11:51:06 AM
Creation date
8/5/2019 9:15:24 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2017 - 2018
RECORD_ID
PR0231435
PE
2361
FACILITY_ID
FA0000916
FACILITY_NAME
7-ELEVEN INC #19976
STREET_NUMBER
1399
Direction
N
STREET_NAME
MAIN
STREET_TYPE
ST
City
MANTECA
Zip
95336
APN
21633034
CURRENT_STATUS
01
SITE_LOCATION
1399 N MAIN ST
P_LOCATION
04
P_DISTRICT
003
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 [] N <br /> V <br /> b. Identify contractor performing decontamination: � tECF <br /> � <br /> Name �JIA <br /> Address Phone U._ — n1;T ' M7 <br /> City Zip <br /> c. Describe method to be used for decontamination: ENVIRONMENTAL HEALTH <br /> nEPARTMENT <br /> d. Describe�how.rinsate material will be stored onsite prior to manifesting offsite: <br /> /% / A - <br /> e. Rinsate Hauler and pe matted Treatment, Storage& Disposal Facility: <br /> Hauler Name_A A Phone(_) Hauler Reg# <br /> Address <br /> Permitted Disposal Site City Zip <br /> 6. a. Describe the m hod that will be utilized to purge and/or inert the piping: <br /> A/14 <br /> b. Piping Hauler: <br /> Name_ /�0 /4 Phone (_) <br /> Address City zip <br /> Hauler Registration #(if hauled as hazardous) <br /> c. Piping DispoK�- <br /> Name Phone <br /> Address City Zip <br /> EPA IN(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.fj/rry <br /> Name_ Phone(__) <br /> Address City Zip <br /> b. Identify laboratory performing analysis: <br /> Name �7 Phone (_j <br /> Address <br /> " City Zip <br /> 8. Describe, in detail,h �he soil and/or water sample(s) beneath the piping or dispenser will be obtained: <br /> 21 <br /> 9. a. Handling of exc vated soil (Contaminated Soil Hazardous Waste Hauler): <br /> Name_ Hauler Registration# Phone <br /> Address (--) <br /> City Zip <br /> b. If soil is not t hauled, describe what will be done with it: <br /> 4 <br />
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