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COMPLIANCE INFO_2002-2009
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0231127
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COMPLIANCE INFO_2002-2009
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Last modified
3/10/2021 1:48:44 PM
Creation date
6/23/2020 6:44:48 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2002-2009
RECORD_ID
PR0231127
PE
2361
FACILITY_ID
FA0003611
FACILITY_NAME
PARKWOODS GAS & FOOD
STREET_NUMBER
1612
Direction
W
STREET_NAME
HAMMER
STREET_TYPE
LN
City
STOCKTON
Zip
95209
APN
07728002
CURRENT_STATUS
01
SITE_LOCATION
1612 W HAMMER LN
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
SJGOV\rtan
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FilePath
\MIGRATIONS\UST\UST_2361_PR0231127_1612 W HAMMER_2002-2009.tif
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EHD - Public
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5. Decontamination Procedui <br />a. Will piping be decontami <br />b. Identify contractor perfor <br />Name SA ✓i 0; <br />Address <br />0 <br />prior to removal? YES K <br />decontamination: <br />t�i 4-,S // G 1-1,1:5>,V <br />c. Describe method to be used for <br />C'ov,1i. <br />d. Describe how rinsate material will be <br />i <br />ME <br />Phone( K_72- – <br />City <br />onsite prior to manifesting offsite: <br />e. Rinsate Hauler and permitted Treatment, torage & Disposal Facility: <br />q <br />Hauler Name /� IAIV d1i /.rz Phone (.Z_`j� 3 ��'" tivl7 Hauler Reg# � i-� %,9 <br />Address S City /v- Zip 9Sa y <br />Permitted Disposal Site Geo _ ,S'6 <br />6. a. Describe the method that will be utilized to purge aid/or inert the piping: <br />b. Piping Hauler <br />Name 'JI -4 4 / f�1Q>D <br />Address / - o - & X 3 �7 <br />• Hauler Registration # (if hauled as hazardous)_ <br />c. Piping Disp��o/ I Site: <br />Name ;711 i E k� �kl.En/ del <br />Address S"YO / Ry G,K <br />EPA ID# (if transported to a permitted TSD facility)_ <br />7. Is the sampling firm an independent third party from the contractor? <br />a. Identify sampling firm: �J <br />Name ` X',g Ij Z� 4 o `/n/ sF,IY&isr Iry e <br />Address lT/�/ %Air✓ S:` <br />b. Identify laboratory performing analysis: <br />Name G�U�iis �sf /off i <br />Address <br />�/.s / t o(, <br />City <br />Phone <br />Ll phi- Zip <br />P ne(53d) Zt!,�yl�ilJ <br />CityL/K rCYr7 Zip ��lolo <br />YES)j NO [ ] <br />Phone(�G9) ��� 9��8 <br />City Zip 2,S3La <br />lone (S'!D) yg 6 - b �O <br />City �. rPK'L Zip -/ 1f ,/✓1� <br />8. Describe, in detail, how the soil and/or water sample(s) beneath the piping or disp�iser will be obtained: <br />Soil samples will be collected in clean 2' diem. brass tubes using a hand driven sampler & hand augeeach sample will be sealed <br />with Teflon tape, capped, uniquely label & stored in an ice chest cooled to approximately 4 degrees C tigrade for delivery to a <br />State Certified Laboratory for analysis. All sampling equipment will be decontaminated between each u using Alconox detergent <br />and clean water. <br />9. a. Handling of excavated soil (Contaminated Soil Hazardous Waste Hauler): <br />Name-✓rr►'! /Nore Pc Q�G �r✓�. Hauler Registration # �i % �(o `�' Phone (,,�eq) <br />Address P -3 5^ City LD?s . \CA Zip /Svc <br />• b. If soil is not to be hauled, describe what will be done with it: <br />3 <br />
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