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COMPLIANCE INFO_2009-2013
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2300 - Underground Storage Tank Program
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PR0232397
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COMPLIANCE INFO_2009-2013
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Last modified
11/14/2023 1:49:50 PM
Creation date
6/3/2020 9:56:46 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2009-2013
RECORD_ID
PR0232397
PE
2361
FACILITY_ID
FA0003978
FACILITY_NAME
KAISER FOUNDATION - MANTECA
STREET_NUMBER
1777
Direction
W
STREET_NAME
YOSEMITE
STREET_TYPE
AVE
City
MANTECA
Zip
95337
APN
20018034
CURRENT_STATUS
01
SITE_LOCATION
1777 W YOSEMITE AVE
P_LOCATION
04
P_DISTRICT
003
QC Status
Approved
Scanner
KBlackwell
Supplemental fields
FilePath
\MIGRATIONS\Y\YOSEMITE\1777\PR0232397\PERMANENT INJUNCTION 05-11-11.PDF
Tags
EHD - Public
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90 <br /> R E7 C EN �� &_ � <br /> 5. Decontamination Procedures: --'~�- <br /> a. Will piping bmdecontaminated prior tonmmova|? �YE8�� NO ` .0/� <br /> b. |den��oontu*�nrper�rmingde#ontaminqUon: � -- L`u <br /> Name <br /> Address city T^°� <br /> c. Describe method tobeused for decontamination: � <br /> d. Describe how hnmotamaterial will be stored onsite prior tomanifesting nffshe: <br /> e. R|nombeHauler and permitted Treatment,Storage&Disposal Facility: <br /> Hauler Name-A'510V WraAMMA.tPhone(�10 )M-_3H0-0 Hauler Reg# 00 J'S' <br /> Permitted Disposal Site 'b K- '0)Yo-h <br /> 8. a. Describe the method that will beutilized topurge and/or inert the piping: <br /> b. Piping Hauler: <br /> Noma � <br /> Phone <br /> Address <br /> City Zip_______ <br /> Hauler Registration#(if hauled oohazardous) <br /> o. Piping Disposal Site: <br /> Name Phone <br /> *ooraso city Zip________ <br /> EPA UD#(if transported toopermitted TSD facility) <br /> / <br /> 7. |sthe sampling firm enindependent third party from the contractor? YES�� NO <br /> a. |danUfysampling firm: <br /> /- <br /> Nam d/0` 83-7- A01 <br /> Address-3610 City zip <br /> b. Identify laboratory performing analysis: <br /> Phone 6-3 9 73 <br /> Address 32, City p <br /> � <br /> 8. Describe, indetail, how the soil and/or water p|a(obeneath the piping or dispenser <br /> 8. a. Handling pfexcavated soil(Contaminated Soil Hazardous Waste Heu!m): <br /> Name As b umi A rfm Hauler Registration# 130 IS-_Phone Cla_) V4-7�0 <br /> h. |fsoil ianot hnbohauled, describe what will bedone with|d� <br /> it: <br />
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