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COMPLIANCE INFO_2001-2009
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0231692
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COMPLIANCE INFO_2001-2009
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Last modified
12/28/2023 11:29:54 AM
Creation date
6/3/2020 9:51:14 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2001-2009
RECORD_ID
PR0231692
PE
2361
FACILITY_ID
FA0000212
FACILITY_NAME
Mossdale Chevron
STREET_NUMBER
444
Direction
W
STREET_NAME
MOSSDALE
STREET_TYPE
RD
City
LATHROP
Zip
95330
CURRENT_STATUS
01
SITE_LOCATION
444 W MOSSDALE RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231692_444 W MOSSDALE_2001-2009.tif
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EHD - Public
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Hauler Registr # <br />Address City _ <br />Permitted Disposal Site <br />7. a. Describe the method that will be utilized to purge and/or inert the piping: <br />�( b. Piping Hauler: <br />Name <br />Address <br />Phone (__) <br />City <br />Hauler Registration # (if hauled as hazardous) <br />C. Piping Disposal Site: <br />Zip <br />E <br />Name Phone (__) <br />Address City. <br />Zip <br />EPA ID (if transported to a permitted TSD facility) <br />8. Is the sampling firm an independent third party from the contractor? YES [ ] NO [ ] <br />io Describe, in detail, how the soil and/or water sample(s) beneath the piping or dispenser will <br />be obtained: <br />10. Handling of excavated soil: <br />a) Contaminated Soil Hazardous Waste Hauler: <br />\� Name Hauler Registration . <br />t <br />Address. City <br />Phone (_)- <br />b) If soil is not to be hauled, describe what will be done with it: <br />3 <br />
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