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COMPLIANCE INFO_1995-2004
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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COUNTRY CLUB
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2575
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2300 - Underground Storage Tank Program
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PR0231070
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COMPLIANCE INFO_1995-2004
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Last modified
1/30/2023 2:09:10 PM
Creation date
6/3/2020 9:43:33 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
1995-2004
RECORD_ID
PR0231070
PE
2351
FACILITY_ID
FA0006439
FACILITY_NAME
COUNTRY CLUB MOBIL CIRCLE K
STREET_NUMBER
2575
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
CURRENT_STATUS
01
SITE_LOCATION
2575 COUNTRY CLUB BLVD
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\rtan
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FilePath
\MIGRATIONS\UST\UST_2351_PR0231070_2575 COUNTRY CLUB_1995-2004.tif
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EHD - Public
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8. a. Describe the method that will be utilized to purge and/or inert the tank(s): <br /> MY cE:- <br /> b. Tank/Piping Hauler: <br /> Name <br /> Address Z SS t'4 Ya City � /"'`{' ` zip 94�0a / <br /> Phone No. /'9 <br /> Hauler Registration#(if hauled as hazardous) 4 .W O 15P�,�03D� 7 .� <br /> C. Tank/Piping Disposal Site: <br /> Name C_-Z <br /> Address Z SS 16A A R et;l-YD city_ iC tiZip ¢PO <br /> Phone No. <br /> EPA ID# (if transported to a permitted TSD facility) 4 i�O O O 95;56 �SZ <br /> 9. Is the sampling firm an independent third party from the contractor? YES NO[] <br /> 9a. Des The,'detail,ho/v the soil and or�water sample(s)beneath tank and pi in will obtained: <br /> �+L J.OLLPL�S L�c2Yc2� 4/C.tr AT L,itc G.1v 4o r-' K•N <br /> +L "F <br /> ,CLd �nN2�I�AL� f�tGCKTCF L ^c4!o:DC /N S[CkvcT Co.<.t" Gf++ �vtAlL' <br /> _ S� P+-� W ���GL�L /O�'G SD:. ,J vILGS GVa.-�L� � d�L/•Nr''0(� /CT <br /> ev- 'd,f .0/2LL1Z'." 1 Y S,�, J^<41-c.+v �occvT�t v.tb,��tc�✓+�t I'W� . <br /> 10. Describe how the excavation will be backfilled with suitable material upon removal:, <br /> �A 'L•dG /l�r <br /> 11. Handling of excavated soil: <br /> a)What material will be used to line the tank pit and cover the stockpile? <br /> Y�SQu��v e�vvc�2 �7�'L'4PiL� <br /> b)What will be the final destination of the excavated stockpile? <br /> i.� /,09>04C`�v w /"Crxnt ,� : weea ,t1«,4 G/fle ; / 1aK,�A CA <br /> c)Contaminated Soil Hazardo�uss Waste Hauler: 7 <br /> Name / /��/G� "� J S_ �M/C"'/�' Hauler Registration#__2 <br /> Address ��l��i oG�2 ���'Z �-6 city, �IcQ.011cgn-7-0 zip RSPZ 0 <br /> Phone No. ( 9�G ) 3P/ �r� I <br /> EH 23 046(Revised l0/16/03) Page 5 <br />
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