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COMPLIANCE INFO_2013-2018
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0231614
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COMPLIANCE INFO_2013-2018
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Last modified
5/19/2021 1:54:59 PM
Creation date
6/3/2020 9:50:52 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2013-2018
RECORD_ID
PR0231614
PE
2361
FACILITY_ID
FA0000086
FACILITY_NAME
San Joaquin General Hospital
STREET_NUMBER
500
Direction
W
STREET_NAME
HOSPITAL
STREET_TYPE
Rd
City
French Camp
Zip
95231
CURRENT_STATUS
01
SITE_LOCATION
500 W Hospital Rd
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231614_500 W HOSPITAL_2013-2018.tif
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EHD - Public
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5. Decontamination Procedures: <br />a. Will piping be decontaminated prior to removal? <br />b. Identify contractor performing decontamination: <br />Name <br />Address <br />c. Describe method to be used for decontamination: <br />YES [ ] <br />RECEIVED <br />NO ET 1 1 2017 <br />PhoneENVIRONMENTALr <br />city • <br />d. Describe how rinsate material will be stored onsite prior to manifesting offsite: <br />e. Rinsate Hauler and permitted Treatment, Storage & Disposal Facility: <br />Hauler Name Phone ( ) uler Reg# <br />Address City Zip _ <br />Permitted Disposal Site <br />6. a. Describe the method that will be utilized to purge and/or irlo the piping: <br />b. Piping Hauler: <br />Name <br />Address <br />Hauler Registration # (if hauled as h <br />c. Piping Disposal Site: <br />Name <br />Address <br />EPA ID# (if transported to a permitted <br />7. Is the sampling firm an independent thi <br />a. Identify sampling firm: <br />Name <br />b. Identify laboratory <br />Name <br />Address <br />8. Describe, in detail, <br />Phone <br />City _ <br />M <br />Phone ( ) <br />City Zip <br />D facility) <br />party from the contractor? YES [ ] NO [ ] <br />ng analysis: <br />Phone( ) <br />City Zip <br />Phone ( ) <br />City Zip <br />the soil and/or water sample(s) beneath the piping or dispenser will be obtained: <br />9. a. Handling of excavated soil (Contaminated Soil Hazardous Waste Hauler): <br />Name Hauler Registration # <br />Address City <br />b. If soil is not to be hauled, describe what will be done with it: <br />4 <br />Phone <br />
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