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COMPLIANCE INFO_2012 - 2015
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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PR0231656
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COMPLIANCE INFO_2012 - 2015
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Entry Properties
Last modified
5/8/2020 4:03:34 PM
Creation date
5/8/2020 11:48:14 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2012 - 2015
RECORD_ID
PR0231656
PE
2351
FACILITY_ID
FA0003635
FACILITY_NAME
ARCO 06080
STREET_NUMBER
85
Direction
E
STREET_NAME
LOUISE
STREET_TYPE
AVE
City
LATHROP
Zip
95330
APN
19627010
CURRENT_STATUS
01
SITE_LOCATION
85 E LOUISE AVE
P_LOCATION
07
P_DISTRICT
003
QC Status
Approved
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KBlackwell
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EHD - Public
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925551788? Line 12:43:20 02-06-2015 6/12 <br /> 5. Decontamination Procedures: <br /> AF-CEIVED <br /> a. Will piping be decontaminated prior to removal? YES [j NO [] FEB p 6 2015 <br /> b. Identify contractor performing decontamination: <br /> Name Phone _ I LE qq <br /> vi <br /> Address City U ,�.,�� —70, +m <br /> c. Describe method to be used for decontamination: <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 1D#(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 Phone( <br /> Address City Zip <br /> b. Identify laboratory performing analysis: <br /> Name Phone(� <br /> Address City Zip <br /> 8. Describe, in detail, how the soil and/or water sample(s) beneath the piping or dispenser will be obtained: <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 /> 3 <br /> Received Time Feb, 6, 2015 11 : 31AM No- 8055 <br />
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