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Tank.'Piping Dismal Site: <br /> Name 'Nest Coast Equipment <br /> Address P.O.Box 2368 Clay Turlock CA Zip 95381 <br /> Phone No.( 800 )441-8544 <br /> EPA ID#(ir banspoded to a permitted TSD facility) NfA <br /> 9. Is the sampling firm an indeP--ndent third party f?xn the contractor (REQUIRED)? YES pd NO(] <br /> 9a_ Describe,in detail,how the sad andror water semp}e(s)beneath the tank and ppn9 w•l be obtained: <br /> Soil sample will be collected with the backhoe and soil sampler from soil bucket <br /> 10. Describe how the exraveEw ni0 be backfilled with sortable mel=rial upon r-emova: <br /> Self�com actin ,clean fill material will be im orted to re lace the'volume'of the UST.Soil excavated <br /> durina removal will Me Plac,20 Ud�!S 1012 <br /> }t. Handling of ex[a'aaled so--- <br /> a)1,11hat <br /> o-a)'Ffnat materia wdl be used to Ene the tank p1 and cover the strkpde? <br /> 4 m1i plaali�rsh-efingiviaq <br /> b)4Yhat vdll 6e the Final destinafcm of the excavated stockp3e? <br /> Backfill the xcavaCon if soil samples a2Dear"clean'or-non-de--cC_Hoxever. soil may be stockpiled <br /> on-sits if obvious contamination is noted(for later haul-off and disposal}. <br /> c)Contaminated Soil Hazardous Waste Hauler. <br /> Name L 8 B Environmental Hauler Registration# 3946 <br /> Address 4460 South Highway 99 C"y Stockton.CA zP 95215 <br /> Phone Number f } <br /> 12. What is the depth to groundwater? 10 to 15 feet'data from nearby wells and investigations. <br /> Describe the source of informatiDn: <br /> ;3. A.a there any tracer walls on this parcel or adjacent properties? YES j] NO(,) <br /> TYPE OF WELLS I DISTANCE TO TANKS(5) <br /> Public Well 600 h. <br /> Privale Well I 500 k. <br /> Irrigation Well I X1,000 ft, <br /> Montlorino Well I 400 ft. _..._. <br /> Other NA ft. w� <br /> ... Will the tank(s)pending closure be replaced%%ith an aboveground•x underground stceage task(s)? YPS(j NO?] <br /> 115. Indicate the responsible party to ba billed for additional EHD staff time expended beyond 3 hour minimum <br /> cermit payma^.t per tank. If the party designated belaw s different than the permit aperxant,e.g.property <br /> owner,the party must acknowledge this resv.z sibility for the b7ng by s:�nature and date below. <br /> Name Louis Levand Trust, EL al.c+o 64s.Paula Levand <br /> Mailing Address 24692 Sand Wedge Lane.Valencia,CA 91355 <br /> DayP DneN ,L-r 661 ) 904-2133 ry <br /> Trustee ab <br /> .grature Title Dal_ <br /> EI7231>46 (Rcvi>cd it l:lti <br />