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1 <br /> GENERAL INFORMATION <br /> 1 Obtain an EPA Site Number from the Department of Health Services (916) 324-1781 for temporary <br />' hazardous waste removal activities associated with underground storage tank (UST) removals <br /> 2 Disposal Information• Public Health Services Tracking Sheet shall accompany each tank removed <br /> from site Tank(s)will be issued an identification number which PHS-EHD's representative will note <br />' on the Tank Tracking Sheet Contractor will affix same Identification number onto tank end using <br /> fluorescent spray paint Contaminated tanks and/or piping are to be transported under Hazardous <br /> Waste Manifest by a state registered hazardous waste hauler <br /> 3 Contractor to Provide Combustible/Flammable gas detector (to verify the Lower Explosive Ltmtt <br /> (LEL)atmosphere and oxygen level of tank prior to lifting from excavation), adequate number(s)and <br /> appropriate type(s) of fire extinguisher(s),barriers to secure the area as necessary to minimize traffic <br />' and pedestrian interference, and fluorescent spray paint to affix tank identification numbers It shall <br /> be the project manager's responsibility for compliance with all health & safety regulations and <br /> requirements,which shall be strictly adhered to at all times during the course of the closure activities <br /> 4 The PHS-EHD permit shall be on site during tank excavation and removal <br /> S Any changes in this document shall be approved by PHS-EHD prior to initiating work. <br /> 6 Closure-in-Place- If Closure-in-Place Is the suggested method of abandonment, complete form <br /> EH 23 039 and submit written approval from the local Fire Department <br /> 7 Temporary Closure- If Temporary Closure Is the suggested method of abandonment, complete <br /> form EH 23 046 and submit written approval from the local Fire Department <br />' 8 The following documentation shall be submitted within 30 days of the tank removal <br /> date: <br /> a) Analytical results,mailed directly from laboratory to PHS-EHD,including a chain of custody <br /> b) Tank Tracking Record Sheet(s) and/or Tank Hazardous Waste Manifest(s) <br /> C) Hazardous Waste Manifests for piping, rinsate, residual fuel, or waste oil receipt. <br /> d) Submit the backfill excavation certificate as required by San Joaquin County and the <br /> Incorporated City Building Departments This report will be referred to the appropriate <br /> agency for their review <br /> A site which has had UST(s) removed,shall not be considered for final closure until the above Items <br /> are submitted for review. <br /> I <br /> IEH 23 040 (Revised 7-10-92) Page 2 <br />