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COMPLIANCE INFO_2013-2018
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2300 - Underground Storage Tank Program
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PR0231346
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COMPLIANCE INFO_2013-2018
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Last modified
12/15/2023 4:05:16 PM
Creation date
6/3/2020 9:47:17 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2013-2018
RECORD_ID
PR0231346
PE
2361
FACILITY_ID
FA0003603
FACILITY_NAME
TESORO (SPEEDWAY XP) 68152
STREET_NUMBER
401
Direction
W
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95240
APN
04513019
CURRENT_STATUS
01
SITE_LOCATION
401 W KETTLEMAN LN
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231346_401 W KETTLEMAN_2013-2018.tif
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EHD - Public
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5 Decontamination Procedures: /n <br />a Will piping be decontaminated prior to removal"? ! Yl -5 NO ( ] <br />b Identify contractor performing decontarninalion <br />Name A- I'hnnra ( ) <br />Address__________,____.___ ___-----_._.._ <br />City !rF � <br />c. Describe method to be used for decontamination N / <br />d Describe how rinsate material will be stored onsite prior to manifesting offsite <br />e Rinsate Hauler and permitted Treatment, Storage & Disposal Facility N ln\ <br />Hauler Name _._. ._Phone ( _—) — Hauler Regtt <br />Address <br />City .. _. _ _. Zip-. _ <br />Permitted Disposal Site <br />6 a. Describe the method that will be utilized to purge and/or inert tare piping <br />b. Piping Hauler: rJ l <br />Phone <br />Address <br />Hauler Registration # (if hauled as hazardous) <br />c Piping Disposal Site: f4 1PN- <br />Name Phone <br />Address <br />City _ _. _ zip <br />EPA ID# (if transported to a permitted TSD <br />7. Is the sampling firm an independent third party frorn the contractor? YFS (] NO t r w-"7 CA 3 >` J <br />a Identify sampling firm e-0V4�� W -A— <br />w�"r�s�.�t. <br />Name <br />Phone(_.__),---,.t3�cr✓�c>� 6MForCr�A�s7o <br />Address <br />City _ _e 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: N 1 <br />9 a Handling of excavated soil (Contaminated Soil Hazardous Waste Hauler): 0 t � <br />Name ._ Hauler Registration #__________ Phone <br />Address <br />City Zip _..._ - <br />b If soil is not to be hauled describe what will be done with it <br />
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