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REMOVAL_2020
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2300 - Underground Storage Tank Program
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PR0231014
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REMOVAL_2020
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Entry Properties
Last modified
5/26/2021 8:55:57 AM
Creation date
6/1/2020 10:27:33 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
REMOVAL
FileName_PostFix
2020
RECORD_ID
PR0231014
PE
2361
FACILITY_ID
FA0003777
FACILITY_NAME
ARMY COURT
STREET_NUMBER
1624
STREET_NAME
ARMY
STREET_TYPE
CT
City
STOCKTON
Zip
95206
APN
16334002
CURRENT_STATUS
02
SITE_LOCATION
1624 ARMY CT
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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SJGOV\kblackwell
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EHD - Public
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SANJ O A Q U I N Environmental Health Department <br /> C O U N TY - --- <br /> C, Tank/Piping Disposal Site : <br /> Name Demenno - Kerdoon <br /> Address 2004 North Alemda Street city Compton Zip 90222 <br /> Phone No . ( 310 537-7100 <br /> EPA ID# (if transported to a permitted TSD facility) CATC080013352 <br /> 9 . Is the sampling firm an independent third party from the contractor (REQUIRED) ? YES [ ] NO [ 4 <br /> 9a . Describe , in detail , how the soil and/or water sample(s) beneath the tank and piping will be obtained : <br /> hand auger <br /> 10 . Describe how the excavation will be backfilled with suitable material upon removal : <br /> back hoe <br /> 11 . Handling of excavated soil : <br /> a) What material will be used to line the tank pit and cover the stockpile? <br /> visquine <br /> b) What will be the final destination of the excavated stockpile? <br /> reuse as backfill <br /> c) Contaminated Soil Hazardous Waste Hauler: <br /> Name Fremouw Environmental Hauler Registration # 135386 <br /> Address 6940 Tremont Road City Dixon Zip 95620 <br /> Phone Number ( 800 559 -3274 <br /> 12 . What is the depth to groundwater? <br /> Describe the source of information : <br /> 13 . Are there any water wells on this parcel or adjacent properties? YES [ ] NO [ ] <br /> TYPE OF WELLS DISTANCE TO TANKS(S) <br /> Public Well ft. <br /> Private Well ft. <br /> Irrigation Well ft. <br /> Monitoring Well ft . <br /> Other ft. <br /> 14 . Will the tank(s) pending closure be replaced with an aboveground or underground storage tank(s) ? YES[ ] NO[ ] <br /> 15 . Indicate the responsible party to be billed for additional EHD staff time expended beyond 3 hour minimum <br /> permit payment per tank. If the party designated below is different than the permit applicant, e .g . property <br /> owner, the party must acknowledge this responsibility for the billing by signature and date below. <br /> Name CGRS , Inc . <br /> Mailing Address 5444 Dry Creek Road Sacramento , CA 95838 <br /> Day Phone Number ( 916 ) 991 - 1100 <br /> 5of10 <br />
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