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COMPLIANCE INFO_2003-2008
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0231216
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COMPLIANCE INFO_2003-2008
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Last modified
12/4/2023 2:32:22 PM
Creation date
6/3/2020 9:46:14 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2003-2008
RECORD_ID
PR0231216
PE
2361
FACILITY_ID
FA0002480
FACILITY_NAME
SHOP N GO 3
STREET_NUMBER
4511
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
APN
11023011
CURRENT_STATUS
01
SITE_LOCATION
4511 PACIFIC AVE
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231216_4511 PACIFIC_2003-2008.tif
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EHD - Public
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8. a. Describe the methodbra 1:that will be utilized puslized to a andlor ine the sk <br /> 15/-b5 j/0 00 -- I <br /> hi ` ew o 6,GZSo i 2 <br /> b. TanklPiping Hauler. <br /> Name Jl)te.* bas+ t4<uaPM.X1'l '�'(' a ,, <br /> Address Sl p a -raq(o( Go u.A- city 1 y-e ly e k Zip q6591 1 <br /> Phone NO4 <br /> Hauler Registration 0 Of hauled as hazardous) <br /> c. TankMpiug Disposal Site: <br /> Address 0 {GW l o,r' C+' <br /> City U..✓(a�� Zip J / <br /> Phone No( "/ 1 4� 8 '! 3 1 8 <br /> BPA 1DN of transported to a permitted TSD facility) AIM <br /> 9. Is the sampling firm an independent third party from the contractor? YES NO(j <br /> 9a Describe,in detall,how the so and/or water sum le(s) ene th the tank and pip will b obtained:/Vac—&4 <br /> I'Yl lord SS ee.V _s <br /> S0.P)t 10 S <br /> 30. Describe how the excavation will be backfilled with suitable material upon removal• <br /> 11. Handling of excavated soil: <br /> a)What material will be used to line the tank pit and cover the stockpile? <br /> Pfa-,Esic. ncce6�AN Z 6 m;1} <br /> b)What will be the final destination <br /> t�o/f the excavated stockpile? <br /> &e <br /> 5l ni 1� d 01 cle-J SDi <br /> IF I <br /> e d <br /> c)Contaminated Soll Hazardous Waste Hauler. ��tt <br /> Name Q,Q l LZ r HaularRejg1stratlouf <br /> Address • ® . ,Q X- t 7 Ce City--414a_ ZIP____ -! <br /> Phone No.(��_ -r ) 54,�-Q 771 <br /> EH 23 046(Revised 06/13199) Page 5 <br />
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