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REMOVAL 2005
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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WATERLOO
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4315
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2300 - Underground Storage Tank Program
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PR0231760
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REMOVAL 2005
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Entry Properties
Last modified
8/23/2019 9:50:05 AM
Creation date
8/22/2019 2:30:03 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
REMOVAL
FileName_PostFix
2005
RECORD_ID
PR0231760
PE
2351
FACILITY_ID
FA0003831
FACILITY_NAME
WATERLOO FOODMART
STREET_NUMBER
4315
Direction
E
STREET_NAME
WATERLOO
STREET_TYPE
RD
City
STOCKTON
Zip
95215-2305
APN
08710034
CURRENT_STATUS
01
SITE_LOCATION
4315 E WATERLOO RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
KBlackwell
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EHD - Public
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8. a. Describe the method that will be utilized to purge and/or inert the tank(s): <br />b. Tank/Piping Hauler: <br />Name- Ecl <br />Address 2 5�S Ct ✓` r %j t VYJ City tic- wo rel Zip Z�S d 1 <br />Phone No.(7-(0 ) Z�`J " 313 <br />Hauler Registration # (if hauled as hazardous)�� O <br />Tank/ Piping Disposal Site: <br />Name �GZ <br />Address_ pa YY' 01VC1 City Ri�GAV1IDI�G/ Zip <br />Phone No.( �5-10 ) ',2 <br />EPA ID# (if transported to a permitted TSD facility) ! '-�P�� 2 <br />9. Is the sampling firm an independent third party from the contractor? YES NO [ ] <br />9a. Describe, in detail, how the soil and/or water sample(s) beneath the tank and piping will be obese <br />J o i. � .SCciy�l)lZ `� r Cr l %t. �G � L�►`�tiv1.u�-�i [ S 4t ertc k. c leu � t 1J S��yK � x Y 1—1 <br />10. <br />11. <br />W <br />u T- FOWL eeSSG i' Sk ve 2 it <br />tis jL'fe'('C( by ('W* r✓ nvtroF,_ He.L <br />Describe how the excavation will be b�ackfjlled with suitable material upon removal: <br />___LC v- Rk4e.- 1(_ / e - <br />Handling of excavated soil: <br />a) What material will be used to line the tank pit and cover the stockpile? <br />b) What will be the final destination of the excavated stockpile? <br />Urn, <br />c) Contaminated Soil Hazardous Waste Hauler: <br />44e I lin <br />Name Alay 'e!/ jh iVGjGj Hauler Registration # <br />Address oy�(0 e1 je-r (�nr-K Pota. City7ilCrZ4Yy &t FD Zip <br />Phone No. <br />EH 23 046 (Revised 10/ 16/03) Page 5 <br />c14 - <br />
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