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COMPLIANCE INFO_2006-2013
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0231111
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COMPLIANCE INFO_2006-2013
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Last modified
1/26/2021 9:09:52 AM
Creation date
6/23/2020 6:43:01 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2006-2013
RECORD_ID
PR0231111
PE
2361
FACILITY_ID
FA0001659
FACILITY_NAME
QUIK STOP MARKET #7039
STREET_NUMBER
2285
Direction
E
STREET_NAME
FREMONT
STREET_TYPE
ST
City
STOCKTON
Zip
95205
APN
141-214-03
CURRENT_STATUS
01
SITE_LOCATION
2285 E FREMONT ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\rtan
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FilePath
\MIGRATIONS\UST\UST_2361_PR0231111_2285 E FREMONT_2006-2013.tif
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EHD - Public
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C <br />5. Decontamination Procedures: <br />a. Will piping be decontaminated prior to removal? YES [ ] <br />b. Identify contractor performing decontamination: <br />Name <br />Address <br />c. Describe method to be used for decontamination: <br />C <br />LM <br />Phone ( ) <br />. City Zip <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 />Zip <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) <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 U <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. <br />a <br />Handling of excavated soil (Contaminated Soil Hazardous Waste Hauler): <br />Name Hauler Registration # _ <br />Address City _ <br />If soil is not to be hauled, describe what will be done with it: <br />3 <br />Phone (� <br />Zip <br />
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