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3 <br /> 1 v <br /> II GENERAL INFOILMATION: <br /> 1. Obtain an EPA Site Number from the Departmentassociated wi ( for <br /> th underground storage tank(US r) removals <br /> temporary hazardous waste removal activities <br /> Disaosal Information: Public Health Services Underground Storage Tank Disposition Tracking Record <br /> �_ <br /> (UST Tracking Record, Page 10) shall accompany each tank removed from site. Tank(s) will be issued <br /> an identification number which PHS-EHD's representative will note on the UST TrackinRecord. <br /> g <br /> Contractor will affix same idendficationnumber onto tank end using fluorescent spray paint. Contaminated <br /> tanks and/or piping are to be transported under Hazardous Waste Manifest by a state registered hazardous <br /> waste hauler. <br /> - Contractor to Provide: CombustibleMammable gas detector(to verity the Lower Explosive Limit(LEL) <br /> riot to lifting from excavation), adequate number(s) and appropriate <br /> atmosphere and oxygen level of tank p traffic and pedestrian <br /> rype(s) of fire cxtinguisher(s). barriers to secure the area <br /> identification <br /> as den��necessary numbers. It shall be the project <br /> interference, and fluorescent spray Paint to affix tank requirements, which shall <br /> manager's responsibility for compliance with all health&safety regulations and <br /> during the course of the closure activities' <br /> strictly adhered to at all times <br /> 4 The PHS-EHD permit shall be on site during tank excavation and removal. <br /> yes in this document shall be approved by <br /> PHS-EHD prior to initiating work. <br /> 5. <br /> Any <br /> cam' lete form <br /> Closure-in-Placa: If Closure-is-Place is the suggested method of abandonment. comp <br /> 6- -oval from the local Fire Department. <br /> EH 23 039 and submit written app <br /> losure: If Temporary <br /> Closure is the sugg <br /> Temporary Cested method of abandonment, complete <br /> approval from the local Fire Department_ <br /> and submit this form and a wrinen <br /> 8. The folio <br /> wing documentation shall be submitted within 30 days of the tank remo'v al <br /> date: <br /> Analytical results, mailed directly from laboratory to PHS-EF-D, including a chain of custody and <br /> a) control (QA & QC). <br /> Duality assurance and quality <br /> b) UST Tracking Record Sheet(s) and/ <br /> Tank Hazardous Waste Manifest(s). <br /> C) Hazardous Wane ylanifesu for piping, rinsace, residual fuel. or waste oil receipt. <br /> aired by San Joanuin Conary and the incorporated <br /> d) Submit the backfill <br /> excavation certificate rt reqwill be referred to the appropriate agency for their <br /> Ckry Building Departments. <br /> review. <br /> site which has had UST(s) removed, shall not be considered for final closure until the above items <br /> Ast <br /> are submitted for review. <br /> SM MITIGATION: <br /> ected as a result of a lealang UST system it is <br /> on is observed, co nnrmed or s�P Mitigation Unit prior <br /> 1. In the event <br /> contamination �e Action Plan may <br /> the responsibiliry of the owner or operator to submit a workcplan c de lays.�aD o ttrreczi orrc^•ive fiction <br /> any assessment or remediation activities. To minimiz v of the C <br /> to initiating Dation Unit at (.09) <br /> be submitted concirreanntowtti?� `r rcv�ic or installation <br /> �istanc c n act thS Site�fiti, <br /> plan,to the Site Ming <br /> 168-3450. Page '- <br /> EH _3 046 (Revised 9/11196) <br />