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SITE HISTORY_CASE 2
EnvironmentalHealth
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PR0538868
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SITE HISTORY_CASE 2
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Last modified
3/13/2020 2:22:30 AM
Creation date
3/12/2020 11:32:36 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE HISTORY
FileName_PostFix
CASE 2
RECORD_ID
PR0538868
PE
2950
FACILITY_ID
FA0022329
FACILITY_NAME
BLINCO TRUCKING
STREET_NUMBER
2431
Direction
E
STREET_NAME
MARIPOSA
STREET_TYPE
RD
City
STOCKTON
Zip
95205
APN
17130003
CURRENT_STATUS
01
SITE_LOCATION
2431 E MARIPOSA RD
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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BJJ Company LLC 2431 E. Mariposa Rd., Stockton SR0069060 <br /> 6. A copy of the submitted "Health and Safety Plan" must be on the jobsite for review. <br /> 7. See 'Sampling Protocol for Routine Tank Removals' and `Verification Analysis' on page <br /> 6 and 7 of the permit application for required analytical tests and number of samples to <br /> be taken and witnessed by EHD. <br /> 8. A copy of the Fire Department permit must be submitted at the time of removal. <br /> 9. In addition, the following information must be submitted within 30 days after the UST <br /> removal date: <br /> a. Analytical results: only results that come directly from a third party California certified <br /> laboratory with affixed chain of custody will be accepted by EHD <br /> b. UST Tracking Record Sheet and/or Tank Hazardous Waste Manifest <br /> c. Tank Closure Certification Form (DTSC Form 1249) <br /> d. Hazardous Waste Manifest for rinsate and residual product <br /> e. Backfill Excavation Certificate <br /> 10. Permit expires 180 days from the date of approval. If an extension to the expiration date <br /> is required, a written request must be submitted to this office prior to the expiration date. <br /> If you have any further questions, please contact me at (209) 468-3440. <br /> Thank you, <br /> Stacy Ri�ha-.�REHS <br /> ` <br /> Senior Registered Environmental Health Specialist <br /> 2 <br />
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