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EnvironmentalHealth
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EHD Program Facility Records by Street Name
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HAMMER
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3250
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3500 - Local Oversight Program
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PR0545251
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SITE HISTORY
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Entry Properties
Last modified
1/31/2020 10:09:00 AM
Creation date
1/31/2020 8:24:14 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE HISTORY
RECORD_ID
PR0545251
PE
3528
FACILITY_ID
FA0001877
FACILITY_NAME
AM PM HAMMER/I5 FOOD #83113
STREET_NUMBER
3250
Direction
W
STREET_NAME
HAMMER
STREET_TYPE
LN
City
STOCKTON
Zip
95209
APN
08240009
CURRENT_STATUS
02
SITE_LOCATION
3250 W HAMMER LN
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved
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SJGOV\sballwahn
Tags
EHD - Public
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a. Describe the method that will be andlor IqM the tank(s� 1 <br /> t <br /> nth <br /> b_ Tank/Piping Hauler. <br /> Named <br /> Address 1 PSS LV �r9 \C"���1 U t\� zip <br /> Phone No4 5 - 1-2, <br /> Hauler Registration ff(11 hauled as hazardous <br /> c. Tank0ping Dlsposal Site: <br /> Name <br /> Address 2,5 �J 1~-�Z U� _—clt'9E\ tJ ll f�� Zip <br /> Phone No 5{ <br /> EPA Mf(if transported to a permitted TSD facility) L, ��QC-> -2h <br /> o �o 2 <br /> Is the sampling firm an independent third party from the contractor? YES NO(] <br /> Describe,in detail,how the soil and/or water sample(s)beneath the tank and piping will be obtained: <br /> b P\(-N.1, IA •7- S Tr> <br /> Describe how the excavation will be backfilled with suitable material upon removal: <br /> 1 M I ?Z—i Ise.\ \ -s N C L�--IiN <br /> Handling of excavated soil: <br /> a)What material will be used to line the tank pit and cover the stockpile? <br /> V nl t= - <br /> b)What will be the final destination of the excavated stockpile? <br /> F. C1 <br /> C)Contaminated Soil Hazardous Waste Hauler. <br /> Name f 1 Hauler Registration <br /> Address �. ��p,Z`c� Lv� City R�c\�M0�1 N zip <br /> Phone No. <br /> M 046(Revised 10119198) Page 5 <br />
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