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GENERAL INFORMATION: 1. Obtain an EPA Site Number from the Department of Health Services (916) 3241781 for temporary hazardous waste removal activities associated with underground storage tank (UST) removals. 2. Disposal Information: Public Health Services Tracking Sheet shall accompany each tank removed from site. Tank(s)will be issued an identification number which PHS-EHD's representative will note on the Tank Tracking Sheet. Contractor will affix same Identification number onto tank end using - fluorescent spray paint. Contaminated tanks and/or piping are to be transported under Hazardous Waste Manifest by a state registered hazardous waste hauler. r 3. Contractor to Provide: Combustible/Flammable gas detector (to verify the Lower Explosive Limit (LEL)atmosphere and oxygen level of tank prior to lifting from excavation),adequate number(s)and appropriate typ (s)of fire extinguisher(s),barriers to secure the area as necessary to minimize traffic and pedestrian interference,and fluorescent spray paint to affix tank identification numbers. It shall be the project manager's responsibility for compliance with all health & safety regulations and requirements,which shall be strictly adhered to at all times during the course of the closure activities. 4 The PHS-EHD permit shall be on site during tank excavation and removal. 5. Any changes in this document shall be approved by PHS-EHD prior to initiating work. 6. Closure-In-Place: If Closure-in-Place is the suggested method of abandonment, complete form EH 23 039 and submit written approval from the local Fire Department. 7. Temporary Closure: If Temporary Closure Is the suggested method of abandonment, complete form EH 23 046 and submit written approval from the local Fire Department. 8. The following documentation shall be submitted within 30 days of the tank removal date: a) Analytical results,mailed directly from laboratory to PHS-EHD,including a chain of custody. b) Tank'Lacking Record Sheet(s) and/or Tank Hazardous Waste Manifest(s). c) Hazardous Waste Manifests for piping, rinsate, residual fuel, or waste oil receipt. d) Submit the backfill excavation certificate as required by San Joaquin County and the 4' Incorporated City Building Departments. This report will be referred to the appropriate- agency ppropriateagency for their review. A site which has had UST(s) removed,shall not be considered for final closure until the above Items are submitted for review. EH 23 040 (Revised 7-10-92) Page 2 i