Laserfiche WebLink
SAN . J <br /> ANJ O n O U IN <br /> Environmental Health Department <br /> -- COU NTY — <br /> a Tank/Piping Disposal Site: <br /> Name REPUBLIC SERVICES LANDFILL <br /> Address 4001 N . VASCO ROAD cityLIVERMORE, CA zip 94550 <br /> Phone No.( 925 ) 447- 0491 <br /> EPA ID# (if transported to a permitted TSD facility) TO BE CERTIFIED NON HAZ <br /> 94 is the sampling firm an independent third party from the contractor (REQUIRED)? YES DQ NO [ j <br /> 9a. Describe, In detail, how the soil and/or water sample(s) beneath the tank and piping will be obtained: <br /> EXCAVATOR TO PULL SAMPLE BY BUCKET AT END OF TANK <br /> 10. Describe how the excavation will be backfilled with suitable material upon removal: <br /> EXCAVATION FOR NEW (REPLACEMENT) 4,000 OWS WILL YIELD BACKFILL MATERIAL (NATIVE SOIL) TO BE <br /> USED TO BACKFILL EXCAVATION OF 1,000 GALLON UST. <br /> 11 . Handling of excavated soil: <br /> a What material will be used to line the tank pit and cover the stockpile? <br /> �0 LINING AT TANK PIT; BACKFILL IS NATIVE SOIL. STOCKPILE TOP OF AND COVER WITH 6 MIL PLASTIC. <br /> b) What will be the final destination of the excavated stockpile? <br /> ONCE DEEMED CLEAN EXCAVATED MATERIAL TO BE HAULED AWAY TO SOIL FACILITY <br /> c) Contaminated Soil Hazardous Waste Hauler: <br /> ASBURY ENVIRONMENTAL <br /> Name (DBA , WORLD OIL ENVIRONMENTAL SERVICES) Hauler Registration # CAD028277036 <br /> Address 1300 S. SANTA FE AVE. City COMPTON zip 90221 <br /> Phone Number ( 800 ) 9744495 <br /> 12. What Is the depth to groundwater? 14.6 FT. HIGHEST DEPTH TO WATER RECORDED ON SITE WAS IN MW6 (DESTROYED 2012). <br /> Describe the source of Information: EMAIL • BROADBENT, INC., SOILS ENGINEER CONTRACTED FOR THIS PROJECT. (ATTACHED) <br /> 13. Are there any water wells on this parcel or adjacent properties? YES DQ NO [ j <br /> Ott <br /> TYPE OF WELLS DISTANCE TO TANKS(S) <br /> Public Well ft. <br /> NEAREST WELL SITE <br /> i <br /> Private Well 2500 (t, JIMCO TRUCK PLAZA <br /> j Irri ation Well ft. <br /> I <br /> I <br /> Monitoring Well ft. <br /> i <br /> I Other it, <br /> 14. Will the tank(s) pending closure be replaced with an aboveground or underground storage tank(s)? YES[ j NODQ <br /> 15. Indicate the responsible party to be billed for additional EHD staff time expended beyond 3 hour minimum <br /> permit payment per tank, if the party designated below is different than the permit applicant, e.g . property <br /> owner, the party must acknowledge this responsibility for the bllling by signature and date below. <br /> Name JONES COVEY GROUP INC <br /> Mailing Address 9595 LUCAS RANCH RD. #100, RANCHO CUCAMONGA CA 91730 <br /> Day Phone Number ( 888 ) 972 '7581 (CELL) 714-975 -4257 CONTACT ROB SILLS <br /> 5of10 <br /> i <br /> I <br /> I' <br />