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COMPLIANCE INFO_2012-2018
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0508352
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COMPLIANCE INFO_2012-2018
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Last modified
4/8/2021 9:09:56 AM
Creation date
6/3/2020 9:59:38 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2012-2018
RECORD_ID
PR0508352
PE
2361
FACILITY_ID
FA0008044
FACILITY_NAME
CHEVRON STATION #1731*
STREET_NUMBER
3355
Direction
E
STREET_NAME
HAMMER
STREET_TYPE
LN
City
STOCKTON
Zip
95212
APN
12618007
CURRENT_STATUS
01
SITE_LOCATION
3355 E HAMMER LN
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0508352_3355 E HAMMER_2012-2018.tif
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EHD - Public
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5. Decontamination Procedures: <br /> RECEIVE® <br /> a. Will piping be decontaminated prior to removal? YES [] NO [] MARZQ'� <br /> b. Identify contractor performing decontamination: <br /> Name Phone (_) <br /> Address City ENVIE NMENTAL HEALTH <br /> DEPARTMENT <br /> c. Describe method to be used for decontamination: <br /> d. Describe how rinsate material will be stored onsite prior to manifesting offsite: <br /> e. Rinsate Hauler and permitted Treatment, Storage& Disposal Facility: <br /> Hauler Name Phone (_) Hauler Reg# <br /> Address City Zip <br /> Permitted Disposal Site <br /> 6. a. Describe the method that will be utilized to purge and/or inert the piping: <br /> b. Piping Hauler: <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) 6 2 -17 <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 /> ALL SOILS ARE PLACED/COVERED WITH VISQUEEN AND IF PEA GRAVEL IS CLEAN IT WILL BE REUSED <br /> 3 <br />
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