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COMPLIANCE INFO_2012 - 2018
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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DR MARTIN LUTHER KING JR
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440
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2300 - Underground Storage Tank Program
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PR0231055
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COMPLIANCE INFO_2012 - 2018
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Entry Properties
Last modified
11/27/2019 3:47:04 PM
Creation date
11/26/2019 9:20:36 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2012 - 2018
RECORD_ID
PR0231055
PE
2361
FACILITY_ID
FA0002321
FACILITY_NAME
Delta arco
STREET_NUMBER
440
Direction
W
STREET_NAME
DR MARTIN LUTHER KING JR
STREET_TYPE
BLVD
City
STOCKTON
Zip
95206
APN
16503003
CURRENT_STATUS
01
SITE_LOCATION
440 W DR MARTIN LUTHER KING JR BLVD
P_LOCATION
01
P_DISTRICT
001
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[] 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 /> RECEIVED <br /> - AUG 04 2014 <br /> e. Rinsate Hauler and permitted Treatment,Storage&Disposal Facility: <br /> Hauler Name_ Phone(__)_ Hauler Reg#_ _ FNVIRONMENTALHEALTH <br /> Address _City_ Zip PERMIT/SERVICES <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 Ciry _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_ 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. If soil is not to be hauled,describe what will be done with it: <br /> 4 <br />
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