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COMPLIANCE INFO_2017-2018
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2300 - Underground Storage Tank Program
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PR0232397
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COMPLIANCE INFO_2017-2018
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Last modified
11/14/2023 2:06:26 PM
Creation date
6/3/2020 9:56:53 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2017-2018
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
\MIGRATIONS3\Y\YOSEMITE\1777\PR0232397\RETROFIT PLAN 2017.PDF
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EHD - Public
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5. Decontamination Procedures: q,'1) <br />a. Will piping be decontaminated p to removal? YES [ ] <br />b. Identify contractor performing decontamination: <br />Name <br />Address <br />c. Describe method to be used for decontamination: <br />HECEIVEA <br />NO [] FEB 0 6 2017 <br />MUNNOMMIMMEMti SFA 3.CAROL, <br />d. Describe how rinsate material will be stored onsite prior to manifesting offsite: <br />e. <br />Rinsate Hauler and permitted Treatment, Storage & Disposal Facility: <br />Hauler Name Phone (_) Hauler Reg# <br />Address City <br />Permitted Disposal Site <br />6. a. Describe the method that will be utilized to purge and/or inert the piping: <br />0 <br />b. Piping Hauler: PA <br />Name Phone (� <br />Address City Zip <br />Hauler Registration # (if hauled as hazardous) <br />c. Piping Disposal Site: <br />Name Phone (� <br />Address City Zip <br />EPA ID# (if transported to a permitted TSD facility) <br />7. Is the sampling firm an independent third party from the contractor? YES [ ] NO [ ] <br />a. Identify sampling firm: <br />Name Phone(_) <br />Address City Zip <br />b. Identify laboratory performing analysis: <br />Name Phone (_) <br />Address City Zip <br />8. Describe, in detail, how 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 # Phone (� <br />Address City zip. <br />b. If soil is not to be hauled, describe what will be done with it: <br />EH230038 (revised 7-26-2016) 4 <br />
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