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COMPLIANCE INFO_2013 - 2018
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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YOSEMITE
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1711
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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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Entry Properties
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
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KBlackwell
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EHD - Public
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'r <br /> 5. Decontamination Procedures: <br /> a. Will piping be decontaminated prior to removal? YES ] NO <br /> b. Identify contractor performing decontamination: <br /> Name J��� 1�oe�&� /NC� Phone ,�;/& 115 37 <br /> Address �1�G � City C S Zip 7 7� <br /> c. Describe method to be used for deco tami ation: <br /> 12 1A 60"1 <br /> d. Describe how rinsate material will be stored onsite prior to manifesting offsite: <br /> 5- <'157LZCXD 7J/Z-y <br /> e. Rinsate Hauler and permitted Treatment, Storage& Disposal Facility: <br /> Hauler Name Phone(2&j 971-9-747 Hauler Reg# O4q A�3 S�-6 <br /> Address /5%5 S Q! V lz .2,0• CityZip 9,5zgi <br /> Permitted Disposal Site <br /> 6. a. Describe the method that will be utilized to purge and/or inert the piping: <br /> 6f4T/� Sr'12'q C- /.vi-v P �� /� <br /> ? 5� ZIA-/ <br /> b. Piping Hauler: �,/ _ <br /> Name L VZI Phone(� <br /> Address City Zip <br /> Hauler Registration#(if hauled as hazardous) <br /> c. Piping Disposal Site: <br /> Name ��L� 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_ ��J �.e �G/�T/Uc7Cg Phone(,?/&) �� <br /> Address City, f��iAZ'1�✓7t9 Zipcl5��7 <br /> b. Identify laboratory performing analysis: <br /> , i� 76 <br /> Name ��� ��.2 ��L�9U Phone l!.PJ CF <br /> Address -3 73 rY BA VVZO City zip.9 �a <br /> 8. Describe, in /d�e�tail, how the soil and/or water sample(s) beneath the piping or dispenser will be obtained: <br /> �1t7`'7�700 Aelye-11-1 <br /> 9. a. Handling of excavated soil (Contaminated Soil Hazardous Waste Hauler): <br /> Name)MAZ -9 -74d)Cle/ N Hauler Registration �3 Phone(L4-) <br /> Address eO 004 27a64i-7 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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