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COMPLIANCE INFO_1996-2002
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2300 - Underground Storage Tank Program
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PR0231764
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COMPLIANCE INFO_1996-2002
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Last modified
6/10/2020 4:13:37 AM
Creation date
6/3/2020 9:52:15 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
1996-2002
RECORD_ID
PR0231764
PE
2361
FACILITY_ID
FA0002160
FACILITY_NAME
BlackHawk Petroleum Inc.
STREET_NUMBER
5611
Direction
E
STREET_NAME
WATERLOO
STREET_TYPE
RD
City
STOCKTON
Zip
95215
APN
08710052
CURRENT_STATUS
01
SITE_LOCATION
5611 E WATERLOO RD
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231764_5611 E WATERLOO_1996-2002.tif
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EHD - Public
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8. a. <br />b. <br />N <br />10. <br />C. <br />is <br />Describe the method that will be <br />R: <br />Tank/Piping Hauler: <br />• <br />I to purge and/or inert the tank(s): <br />IwoM <br />Name <br />F—Zic-LSO/1 <br />= b <br />C , <br />Address <br />o2 S S <br />Par i> <br />10 CityR i & WAD vt 4 Zip 9I/ S b <br />Phone No.( 6 /O ) 2 3:5 — /3'7.3 p <br />Hauler Registration # (if hauled as hazardous) / <br />Tank/Piping Disposal Site: <br />Name <br />r— TZ ck5on�lnC <br />� <br />Address <br />o? S S <br />11 <br />'PctV-f I V d. City is Nnlnn� <br />Zip 9y8O� <br />Phone No.( S/O ) a 3 S " 13 Z3 / <br />EPA 1D# (if transported to a permitted TSD facility) Cl .0 b O9a- <br />Describe, in detail, how the soil and/or water sample(s) beneath the tank and piping will be obtained: <br />�'Itr�sG Sre PST -s cios02e �t- ca�v,-1-�_ 12c!,Cui/zcmrh7�5 <br />Describe how the excavation will be backfilled with suitable material upon removal: <br />Sviud`c snd�r2f'a� %eeAit�ni <br />11. Handling of excavated soil: <br />a) What material will be used to line the tank pit and cover the stockpile? <br />b) What will be the final destination of the excavated stockpile? <br />iso /'1vG2 d -'h e , — <br />c) Contaminated Soil Hazardous Waste Hauler: <br />61Lfa uz-R- <br />�'5-oC4 0//r. <br />S.26o� <br />/- eoo - a o 5/- Y-2 Y.:Z <br />Name ?904 4 60,175 <br />-74 y �c/`I4 <br />. 7"/X. Hauler Registration # <br />Address 12a C? 42 <br />CPrt� <br />o . Cit'-, <br />Zip 958 a <br />Phone No. (91AK, 138/— 4 8 6 7 <br />23 046 (Revised 7/10/96) Page 5 <br />
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