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COMPLIANCE INFO_2018
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0231072
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COMPLIANCE INFO_2018
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Last modified
6/23/2021 9:10:26 AM
Creation date
6/23/2020 6:40:46 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2018
RECORD_ID
PR0231072
PE
2361
FACILITY_ID
FA0002048
FACILITY_NAME
TESORO (SPEEDWAY) 68221
STREET_NUMBER
2705
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
APN
12121008
CURRENT_STATUS
01
SITE_LOCATION
2705 COUNTRY CLUB BLVD
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved
Scanner
SJGOV\kblackwell
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231072_2705 COUNTRY CLUB_2018.tif
Tags
EHD - Public
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i • <br /> 5. Decontamination Procedures: <br /> a. Will piping be decontaminated prior to removal? YES [] NO [] N/A <br /> b. Identify contractor performing decontamination: <br /> Name Phone (_) <br /> Address City 113 <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 Z <br /> Permitted Disposal Site <br /> 6. a. Describe the method that will be utilized to purge and/or inert the piping: <br /> I' <br /> b. Piping Hauler: <br /> Name Phone (� <br /> Address City ip <br /> Hauler Registration#(if hauled as hazardous) <br /> c. Piping Disposal Site: <br /> Name Phone (� <br /> Address City ip <br /> EPA ID#(if transported to a permitted TSD facility) <br /> 7. Is the sampling firm an independent third party from the contractor? YES lJO [] <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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