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SAN10 A Q U I N Environmental Health Department - COUNTY - 11 . GENERAL INFORMATION : 1 . Obtain an EPA Site Number from the Department of Toxic Substances Control (800 ) 61 -70XIC for temporary hazardous waste removal activities associated with underground storage tank ( UST) removals . 2 . Disposal Information : SJC EHD's Underground Storage Tank Disposition Tracking Record ( UST Tracking Record , page 10 ) shall accompany each tank removed from site . Tank(s ) will be issued an identification number which EHD's representative will note on the UST Tracking Record . Contractor will affix same identification number onto tank end using fluorescent spray paint. Contaminated tanks and/or piping are to be transported under Hazardous Waste Manifest by a state registered hazardous waste hauler. 3 . Contractor to Provide : Combustible/Flammable gas detector (to verify the Lower Explosive Limit (LEL ) atmosphere and oxygen level of tank prior to lifting from excavation ) , adequate number(s) and appropriate type (s ) of fire extinguisher(s ) , barriers to secure the area as necessary to minimize traffic and pedestrian interference , and fluorescent spray paint to affix tank identification numbers . It shall be the project manager's responsibility for compliance with all health & safety regulations and requirements , which shall be strictly adhered to at all times during the course of the closure activities . 4 The EHD permit shall be on site during tank excavation and removal . 5 . Any changes in this document shall be approved by EHD prior to initiating work. 6 . Closure-in -Place : If Closure-in- Place is the suggested method of abandonment , complete form EH 23 039 and submit written approval from the local Fire Department. 7 , Temporary Closure : If Temporary Closure is the suggested method of abandonment , complete and submit this application and include an explanation of how the UST owner/operator will comply with California Code of Regulations Title 23 , Section 2671 (a)-(e ) . Also , submit a written approval from the local Fire Department. 8 . The following documentation shall be submitted within 30 days of the tank removal date : a ) Analytical results , mailed directly from laboratory to EHD , including a chain of custody and quality assurance and quality control ( QA & QC ) . b ) UST Tracking Record Sheet(s ) and/or Tank Hazardous Waste Manifest(s ) . C) Tank Closure Certification Form ( DTSC form 1249 ) . d ) Hazardous Waste Manifests for piping , rinsate , residual fuel , or waste oil receipt. e ) Submit the backfill excavation certificate as required by San Joaquin County and the incorporated City Building Departments . This report will be referred to the appropriate agency for their review. A site which has had UST(s) removed , shall not be considered for final closure until the above items are submitted for review. III . SITE MITIGATION : 1 . In the event contamination is observed , confirmed or suspected as a result of a leaking UST system it is the responsibility of the owner or operator to submit a work plan to EHD Site Mitigation Unit and have it approved prior to initiating any assessment or remediation activities . To minimize delays , the work plan may be submitted concurrent with tank closure or installation plans . Address one copy of the work plan to the Site Mitigation Unit for review. If the site is not currently in the Local Oversight Program , a billing form and a $456 minimum fee must be submitted with the work plan . For further assistance contact the Site Mitigation Unit at (209 ) 468-3420 . 2of10