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REMOVAL_2019
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2300 - Underground Storage Tank Program
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PR0544797
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REMOVAL_2019
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Entry Properties
Last modified
1/3/2025 1:24:35 PM
Creation date
7/14/2020 1:49:58 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
REMOVAL
FileName_PostFix
2019
RECORD_ID
PR0544797
PE
2361 - UST FACILITY
FACILITY_ID
FA0025462
FACILITY_NAME
OLD FARM RELATED DIESEL FUEL TANK
STREET_NUMBER
8427
STREET_NAME
LEALE
STREET_TYPE
AVE
City
STOCKTON
Zip
95212-1913
CURRENT_STATUS
Inactive, non-billable
QC Status
Approved
Scanner
SJGOV\lsauers1
Supplemental fields
Site Address
8427 LEALE AVE STOCKTON 95212-1913
Tags
EHD - Public
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SAN J O A Q U I N Environmental Health Department <br /> COUNTY <br /> 7 . See ` Sampling Protocol for Routine Tank Removals ' and `Verification Analysis ' on page <br /> 6 and 7 of the permit application for required analytical tests and number of samples to <br /> be taken and witnessed by EHD . <br /> 8 . A copy of the Fire Department permit must be submitted at the time of removal . <br /> 9 . In addition , the following information must be submitted within 30 days after the UST <br /> removal date : <br /> a . Analytical results : only results that come directly from a third party California <br /> certified laboratory with affixed chain of custody will be accepted by EHD <br /> b . UST Tracking Record Sheet and /or Tank and Piping Hazardous Waste Manifest <br /> c . Tank Closure Certification Form ( DTSC Form 1249 ) <br /> d . Hazardous Waste Manifest for rinsate and residual product <br /> e . Backfill Excavation Certificate <br /> 10 . Permit expires 180 days from the date of approval . If an extension to the expiration <br /> date is required , a written request must be submitted to this office prior to the expiration <br /> date . <br /> If you have any further questions , please contact me at (209 ) 468 - 0216 . <br /> Thank you , <br /> Shewit Wo aregay , EHS <br /> Environmental Health Specialist <br /> cc: Sheldon Yucht, 8427 Leale Ave, Stockton, CA 95212 <br /> 2 of 2 <br />
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