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COMPLIANCE INFO_2012 - 2014
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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PR0536555
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COMPLIANCE INFO_2012 - 2014
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Entry Properties
Last modified
11/25/2019 3:01:19 PM
Creation date
11/25/2019 10:41:34 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2012 - 2014
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
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EHD - Public
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5. Decontamination Procedures: p— <br /> a. Will piping be decontaminated prior to removal? F /1 YES [] NO [] <br /> b. Identify contractor performing decontamination: <br /> Name Phone (� <br /> Address City Zip <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 I Dg AUJ/fib0)kAAII!-Phone(9/G /-S74J Hauler R e g# B44L�3!j,�.6 <br /> Address /S/S S, &Z City/d-";�. Zip 957WI <br /> Permitted Disposal Site pex__ ggt2j" <br /> 6. a. Describe the method that will be utilized to purge and/or inert the piping: <br /> AJ�/a- <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 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 firm: ) / <br /> Name /V//`T- 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): PIA <br /> Name Hauler Registration# Phone (� <br /> Address City Zip <br /> b. If soil is not to be hauled, describe what will be done with it: <br /> 4 <br />
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