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II. GENERAL INFORMATION: <br /> 1. Obtain an EPA Site Number from the Department of Toxic Substances Control (800) 61-TOXIC for <br /> temporary hazardous waste removal activities associated with underground storage tank(UST) removals. <br /> 2. Disposal Information: SJC EHD's Underground Storage Tank Disposition Tracking Record (UST Tracking <br /> Record, page 10) shall accompany each tank removed from site. Tank(s) will be issued an identification <br /> number which EHD's representative will note on the UST Tracking Record. Contractor will affix same <br /> identification number onto tank end using fluorescent spray paint. Contaminated tanks and/or piping are to <br /> be transported under Hazardous Waste Manifest by a state registered hazardous waste hauler. <br /> 3. Contractor to Provide: Combustible/Flammable gas detector (to verify the Lower Explosive Limit (LEL) <br /> atmosphere and oxygen level of tank prior to lifting from excavation), adequate number(s) and appropriate <br /> type(s) of fire extinguisher(s), barriers to secure the area as necessary to minimize traffic and pedestrian <br /> interference, and fluorescent spray paint to affix tank identification numbers. It shall be the project <br /> manager's responsibility for compliance with all health &safety regulations and requirements, which shall be <br /> strictly adhered to at all times during the course of the closure activities. <br /> 4 The EHD permit shall be on site during tank excavation and removal. <br /> 5. Any changes in this document shall be approved by EHD prior to initiating work. <br /> 6. Closure-in-Place: If Closure-in-Place is the suggested method of abandonment, complete form EH 23 039 <br /> and submit written approval from the local Fire Department. <br /> 7. Temporary Closure: If Temporary Closure is the suggested method of abandonment, complete and <br /> submit this application and include an explanation of how the UST owner/operator will comply with <br /> California Code of Regulations Title 23, Section 2671 (a)-(e). Also, submit a written approval from the <br /> local Fire Department. <br /> 8. The following documentation shall be submitted within 30 days of the tank removal <br /> date: <br /> a) Analytical results, mailed directly from laboratory to EHD, including a chain of custody and quality <br /> assurance and quality control (QA&QC). <br /> b) UST Tracking Record Sheet(s) and/or Tank Hazardous Waste Manifest(s). <br /> C) Tank Closure Certification Form (DTSC form 1249). <br /> d) Hazardous Waste Manifests for piping, rinsate, residual fuel, or waste oil receipt. <br /> e) Submit the backfill excavation certificate as required by San Joaquin County and the incorporated <br /> City Building Departments. This report will be referred to the appropriate agency for their review. <br /> A site which has had UST(s) removed,shall not be considered for final closure until the above items <br /> are submitted for review. <br /> Ill. SITE MITIGATION: <br /> 1. In the event contamination is observed, confirmed or suspected as a result of a leaking UST system it is the <br /> responsibility of the owner or operator to submit a work plan to EHD Site Mitigation Unit and have it <br /> approved prior to initiating any assessment or remediation activities. To minimize delays, the work plan <br /> may be submitted concurrent with tank closure or installation plans. Address one copy of the work plan to <br /> the Site Mitigation Unit for review. If the site is not currently in the Local Oversight Program, a billing form <br /> and a $366 minimum fee must be submitted with the work plan. For further assistance contact the Site <br /> Mitigation Unit at(209)468-3450. <br /> EH 23 046 (Revised 07/22/10) 2 <br />