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COMPLIANCE INFO_2008-2018
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0231547
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COMPLIANCE INFO_2008-2018
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Last modified
3/8/2023 3:48:09 PM
Creation date
6/23/2020 6:49:56 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2008-2018
RECORD_ID
PR0231547
PE
2361
FACILITY_ID
FA0003848
FACILITY_NAME
Verizon Business: KINGCA
STREET_NUMBER
13850
Direction
N
STREET_NAME
DE VRIES
STREET_TYPE
RD
City
LODI
Zip
95240
APN
05524018
CURRENT_STATUS
01
SITE_LOCATION
13850 N DE VRIES RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231547_13850 N DE VRIES_2008-2018.tif
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EHD - Public
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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 />0 <br />NO <br />Phone <br />City Zip <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 <br />Permitted Disposal Site <br />.1 977 = 7MM <br />Zip <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 lD# (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 C_) <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 />�W. <br />R <br />ilo-MMUFFT AST WAMME, 1. M"JMT71110"" M. <br />Name Hauler Registration # <br />Address city <br />If soil is not to be hauled, describe what will be done with it: <br />0 <br />Phone <br />Zip <br />
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