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COMPLIANCE INFO_2009-2010
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2300 - Underground Storage Tank Program
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PR0232418
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COMPLIANCE INFO_2009-2010
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Last modified
11/21/2023 2:12:54 PM
Creation date
6/23/2020 6:55:39 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2009-2010
RECORD_ID
PR0232418
PE
2361
FACILITY_ID
FA0004064
FACILITY_NAME
WATERLOO LIQUOR
STREET_NUMBER
2512
Direction
E
STREET_NAME
WATERLOO
STREET_TYPE
RD
City
STOCKTON
Zip
95205
APN
14128102
CURRENT_STATUS
01
SITE_LOCATION
2512 E WATERLOO RD
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0232418_2512 E WATERLOO_2009-2010.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 [I <br />d. Describe how rinsate material will be stored onsite prior to manifesting <br />• <br />NO [ ] <br />Phone <br />_ City Zip <br />e. Rinsate Hauler and permitted Treatment, Storage & Disposal Fa . Ity: <br />Hauler Name Phone (_) <br />Address City <br />Permitted Disposal Site <br />6. a. Describe the method that will be utilized to purge d/or inert the piping: <br />b. Piping Hauler: <br />Name <br />Address <br />Hauler Registration # (if ha #ed as ha rdous) <br />c. Piping Disposal Site: <br />Name <br />Address <br />EPA ID# (if transported permitted TSD facility)_ <br />7. Is the sampling firm an inde en nt third party from the <br />a. Identify sampling firm: <br />b. Identify laboratory rtc <br />Name <br />Address <br />8. Describe, in detail, how the <br />9. a. Handling of e/behtauled, <br />soil <br />Name <br />Address <br />b. If soil is not t c <br />P <br />City _ <br />Hauler Reg# _ <br />Zip <br />Phone (_—) <br />City Zip <br />YES [ ] <br />_ Phone(_ <br />City <br />NO [I <br />Zip <br />Phone <br />City Zip <br />water samp (s) beneath the piping or dispenser will be obtained: <br />Soil Hazardous Waste Hauler): <br />Hauler Registration # _ <br />City _ <br />what will be done with it: <br />3 <br />Phone (_—) <br />Zip <br />
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