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COMPLIANCE INFO_2017-2018
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2300 - Underground Storage Tank Program
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PR0231989
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COMPLIANCE INFO_2017-2018
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Last modified
10/26/2022 8:53:41 AM
Creation date
6/23/2020 6:54:17 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2017-2018
RECORD_ID
PR0231989
PE
2361
FACILITY_ID
FA0003976
FACILITY_NAME
VALLEY PACIFIC CHARTER WAY CARDLOCK
STREET_NUMBER
1501
Direction
W
STREET_NAME
CHARTER
STREET_TYPE
WAY
City
STOCKTON
Zip
95206
APN
16337016
CURRENT_STATUS
01
SITE_LOCATION
1501 W CHARTER WAY
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231989_1501 W CHARTER_2017-2018.tif
Tags
EHD - Public
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5. Decontamination Procedures: RECEIVED <br /> a. Will piping be decontaminated prior to removal? YES [] NO [] <br /> b. Identify contractor performing decontamination: <br /> Name Phone ®EC 0 4 70+7 <br /> Address City Zip <br /> ENN'MONNiI'N 1 L HEALTH <br /> c. Describe method to be used for decontamination: I)l:,rkWI'MENT <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 Zip <br /> Permitted Disposal Site <br /> 6. a. Describe the method that will be u 'lized top rge an inert the piping: <br /> b. Piping Hauler: l <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 (� <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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