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I. <br />2. <br />3. <br />r <br />GENERAL INFORMATION: <br />W] <br />Obtain EPA Site Nunlber froth the Department ;;f Health Services (916) 324-1781 for temporary <br />hazardous waste retttoVii activ;, ; associated with underground tank removals. <br />L7isposal Information: Public I•ies:th Services TracYint skteet will aczornpany each tank removed from <br />site. Tank(s) v ll be issved an identification nu:^%v%er •-,*hich PHS-EHD`s regresertative will nate on <br />the Tank Tracitirig Sleet and L'or.tracmr v:itl Silt, sa::te ID `umber o tto tank end using fluorescent <br />spray paint. Contaminated tarsklpiping are tU-bz :rsnsporte.d under Haz:�rdous%aste,Manifest by a <br />registered hazardous Waste hauler. <br />lontract�.r to provide: Ccnlbustible/FI2r,,ritablz has detector to veru; the Lower Explosive Limit <br />(LEG) atmosp:tere and c.zygea level of tarn; prier to lifting from excal:-ation. adequate number and <br />appropriate grpees) of fire extinguisher(s), batri:a to secure the area as nece sar-y to minimize traffic <br />%and pedestrian interfere -ace., and fluoresc:. tt spray alit[ to affil. tanks) identificaticn number. It shall <br />be the project manager's responsibility for co;,^-, . a <br />fiance %vigilll health z safety precautions and <br />requirements, which shall :.le strictly adhc-rcrJ to a: s?/ iiino during the ccurse cf the closure activities. <br />The PHS-'EHD permit shell rn onsite during e.xczvation ar.d re,'moval. <br />Any changes in this docurnert raust be approve; t ,itis k:partment prior to initiating work. <br />Closure -in -Place: If is the sukusled Of ab Wranent; si bmit form <br />EH 23 039 to this ofilcc. in addition to lor—ill Firc. Depvrtr-gilt v.'riiren 3PPMval. <br />the follohring shrill be submitted 30 do\s after tank removal date: <br />a) Analytscal results :vi:h a ; l�aitt of custrJ". <br />b) Tank Tracking Record Si•,cet,t% 3tvJ;'0r _.a irdc :s WI—Ste :vlanifest(s). <br />C) IIaz7::j<J'aS ;!' je;�rtifC5t3 fGF rl;vJ iu$l, vvsste oil receipt, and piping. <br />d) SUt}rs.il a CnrnY$ctio:l ret OSt ..S r2�Ltrc" y b`3!t loaqutn C<JUn[�' SnCi i:S incorporated Cli'.'' <br />& t,e ;et' *rerl W, t"e appropriate agency for thei- <br />Buildin Da;.zrt:�lert:. i,4i: rcitcrt . <br />review. <br />A site which bas had UST() re;noYef1, shall not `e .otis.dcred for closure until 'he am. vc items are <br />submitted ;or review. <br />E11-23 *•to (Rev 2/8/91) <br />Page 2 <br />d - -- <br />