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COMPLIANCE INFO_2008-2009
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0232257
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COMPLIANCE INFO_2008-2009
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Last modified
12/13/2023 1:52:27 PM
Creation date
6/23/2020 6:54:31 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2008-2009
RECORD_ID
PR0232257
PE
2361
FACILITY_ID
FA0000670
FACILITY_NAME
QUIK STOP MARKET #3148*
STREET_NUMBER
205
Direction
W
STREET_NAME
LOCKEFORD
STREET_TYPE
ST
City
LODI
Zip
95240
APN
04116115
CURRENT_STATUS
01
SITE_LOCATION
205 W LOCKEFORD ST
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0232257_205 W LOCKEFORD_2008-2009.tif
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EHD - Public
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5. Decontamination Procedures: <br />a. Will piping be decontaminated prior to removal? <br />b. Identify contractor performing decontamination: <br />Name <br />Address <br />c. Describe method to be used for decontamination: <br />YES [ ] <br />Lois <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 (_) <br />Address <br />Permitted Disposal Site <br />6. a. Describe the method that will be utilized to purge and/or inert the piping: <br />b. Piping Hauler: <br />Name <br />Address <br />Hauler Registration # (if hauled as hazardous) <br />Hauler Reg# <br />City <br />Zip <br />Phone (� <br />City Zip <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 # _ <br />Address City _ <br />b. 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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