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COMPLIANCE INFO_2015 - 2018
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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VALPICO
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2300 - Underground Storage Tank Program
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PR0536555
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COMPLIANCE INFO_2015 - 2018
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Entry Properties
Last modified
11/25/2019 3:04:34 PM
Creation date
11/25/2019 8:30:35 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2015 - 2018
RECORD_ID
PR0536555
PE
2351
FACILITY_ID
FA0020989
FACILITY_NAME
Arco. Am pm 83333
STREET_NUMBER
550
Direction
W
STREET_NAME
VALPICO
STREET_TYPE
Rd
City
Tracy
Zip
95376
CURRENT_STATUS
01
SITE_LOCATION
550 W Valpico Rd
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
Scanner
KBlackwell
Tags
EHD - Public
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Toy Page 6 of 10 2015-12-01 00:49:17(GMT) 14153999602 From: Nikola ZAGOROV <br /> 5. Decontamination Procedures: HEGEIVED <br /> a, Will piping be decontaminated prior to removal? YES(] NO[J <br /> b. Identify contractor performing decontamination: NOV 3 U 2015 <br /> Name Phone <br /> Address City----Zip.EUVWNMENTAL <br /> 6 PAITW ncDQRTkAF:NT <br /> c. Describe method to be used for decontamination: <br /> d. Describe how rinsate material will be stored onsite prior to manifesting offsite: <br /> e. Rinsate Hauler and permitted Treatment,Storage&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 transporter to a permitted TSD facility) <br /> 7. Is the sampling firman independent third party from the contractor? YES[J 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. tf soil is not to be hauled,describe what will be done with it: <br /> 4 <br />
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