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COMPLIANCE INFO_2009-2013
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2300 - Underground Storage Tank Program
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PR0232494
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COMPLIANCE INFO_2009-2013
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Last modified
11/14/2023 12:52:58 PM
Creation date
6/3/2020 9:57:23 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2009-2013
RECORD_ID
PR0232494
PE
2361
FACILITY_ID
FA0002602
FACILITY_NAME
KAISER PERMANENTE
STREET_NUMBER
7373
STREET_NAME
WEST
STREET_TYPE
LN
City
STOCKTON
Zip
95210
APN
09416023
CURRENT_STATUS
01
SITE_LOCATION
7373 WEST LN
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0232494_7373 WEST_2009-2013.tif
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EHD - Public
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0 <br />Communication Result Report ( Nov,16. <br />11 <br />Date/Time: Nov,16. 2012 1:22PM <br />® P. 1 <br />2012 1:31PM) <br />San Joaquin County <br />Environmental Health Department <br />File Page <br />No, Mode Destination Pg (s) Result Not Sent <br />---------------------------------------------------------------------------------------------------- <br />0341 Memory TX Elite IV P. 51 OK <br />---------------------------------------------------------------------------------------------------- <br />Reason for error <br />E. 1) Hang up or line fail E. 2) Busy <br />E.3) No answer E. 4) No fiacsimile connection <br />E.5) Exceeded max. E—mail size <br />San Joaquin County <br />Environmental Health Department <br />1868 East Hazelton Avenue <br />He— FUNs <br />Stockton, California 95208.6232 <br />Rs <br />MoCAe1eO°OTOon. REM <br />--_ <br />•.Ca <br />Jeff G. -.-r S, ON <br />.. `P• <br />nxaY FWW.,REHS <br />Lama Tel®tm, RF]13 <br />Ph.-;sw09) 45.Orgl5 <br />Plwhre: (20B) 40e -342e <br />Fax: (280),184-11M <br />Novanber 9, 2012 <br />ChackDowdy <br />Elim IV Contmotan <br />2535 Wigwam Drive <br />Smckma, CA 952113 <br />RE: YW— Fermaaacnte, 7373 West? e, Stockton, CA 95210 <br />no permit application (SRW65795) to close in place the underground storage tank piping at the <br />above referenced Witty has been app oved with the following conditions: <br />I. If the soil removed during the sampling process is foul to be contaminated it must be <br />disposed of at an approved disposal location. T Iment of soil onsite can only be performed <br />undera hazardous waste treatment permit <br />2. A copy of &e "Site Health & Safety Plan" oust be an thejob site for review. <br />3. See pages 7 & 8 ofthe pooh application for required an slltical tests and number of samples <br />to be taken and n4towssed by this department. Form EH 23 046 Revised 08101711 must be <br />utilized <br />4. In addition, 0m fallowing information must be submitted avidiin 30 days after the UST <br />oval dew: <br />(a) Soil and piping timate amlytical results must cone directly to this department from a <br />third party California certified laboratory with afford chain of eusiody. <br />(b) Hazardous Waste Manifest orbazardous waste determination for soil excavated during <br />the sampling process, piping removed and piping Ansate. <br />S. Thispeormtespins 180 days from the approval dam. <br />6. Schedule the piping elmons and sampling inspeaions at least 48 hoax in advance with the <br />EHD inspector The EM inspector wall wimen the pipe grouting and the soil sampling. <br />7- Sobedule secondary cntuainment testing ofthe remaining product pipe and the had: top sump <br />widhiu oro,—k of remmiug the facility to up ..0 g oondition. Toe EHD inspwtor will <br />witness tare secondary camoinment testing, Notify the EHD 48 hours in advance of1he <br />testing. <br />Ifyou have ray questions please cmneet (iarivat Backus at (209) 468.2986. <br />Thu k )—, <br />Garan Backus, RENS <br />Semi-Ragisteed Enviramneal Health Specialist <br />
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