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COMPLIANCE INFO_2013 - 2018
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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PR0231455
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COMPLIANCE INFO_2013 - 2018
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Last modified
5/6/2020 1:54:57 PM
Creation date
5/5/2020 4:53:14 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2013 - 2018
RECORD_ID
PR0231455
PE
2361
FACILITY_ID
FA0003612
FACILITY_NAME
Yosemite Avenue Arco AmPm
STREET_NUMBER
1711
Direction
E
STREET_NAME
YOSEMITE
STREET_TYPE
Ave
City
Manteca
Zip
95336
CURRENT_STATUS
01
SITE_LOCATION
1711 E Yosemite Ave
P_LOCATION
04
P_DISTRICT
005
QC Status
Approved
Scanner
KBlackwell
Tags
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: 1,� <br /> QoT itis l7G�t)'-V5 /7� -Zi <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 Phone ( ) Hauler Reg# <br /> Address City Zip <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 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 ��, lg ,�. `/T.r�vL G Phone(9/k 3r6y_ � <br /> Address 323T )�btu X_ City lZeA&VTO Zip967-�'7 <br /> b. Identify laboratory performing analysis: <br /> Name �� C? l � �f�/LbC U9� Phoneme 7�O `�� <br /> Address -3 TIT CityZip 117 <br /> 8. Describe, in detail, how the soil and/or water sample(s) beneath the piping or dispenser will be obtained: <br /> 6 �, <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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