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COMPLIANCE INFO_2021
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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PR0231801
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COMPLIANCE INFO_2021
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Entry Properties
Last modified
10/27/2021 8:35:05 AM
Creation date
1/29/2021 3:18:17 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0231801
PE
2361
FACILITY_ID
FA0003290
FACILITY_NAME
COUNTRY MART GAS & FOOD
STREET_NUMBER
34243
Direction
S
STREET_NAME
CHRISMAN
STREET_TYPE
RD
City
TRACY
Zip
95304
APN
25318004
CURRENT_STATUS
01
SITE_LOCATION
34243 S CHRISMAN RD
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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Amendment SR0083263 <br /> t N ` `JOA U ( Environmental Health Department <br /> c . Describe method to be used for decontamination : <br /> Triple Rinse <br /> d . Describe how rinsate material will be stored onsite prior to manifesting offsite : <br /> 55 Gallon Hazmat waste drum <br /> e . Rinsate Hauler and permitted Treatment, Storage & Disposal Facility : <br /> Hauler Name ACT Phone2( O9 ) 722-4228 Hauler Reg# <br /> Address 265 Riggs Ave City Merced . CAZip 95341 <br /> Permitted Disposal Site 31915 Industrial Lane Parker South , AZ 85344 <br /> 6 . a . Describe the method that will be utilized to purge and/or inert the piping : <br /> Triple Rinse <br /> b . Piping Hauler: <br /> Name ACT Phone ( 209 ) 722-4228 <br /> Address 265 Riggs Avenue City Merced Zip 95341� <br /> Hauler Registration # ( if hauled as hazardous) <br /> c . Piping Disposal Site : <br /> Name EWS Environmental Waste Solutions Phone ( 877 ) 229- 0189 <br /> Address 31915 Industrial Lane City Parker South Zip 85344 <br /> EPA ID# (if transported to a permitted TSD facility) ARZ000520478 <br /> 7. Is the sampling firm an independent third party from the contractor? YES [ ] NO [ ] <br /> a . Identify sampling firm: <br /> Name Advanced Geo Environmental Inc Phone ( 800 ) 511 - 9300 <br /> Address 837 Shaw Road City Stockton , CA Zip 95215 <br /> b . Identify laboratory performing analysis : <br /> Name F_ nviro Chem Phone ( 909 ) 590-5905 <br /> Address 1214 E Lexington Avenue City Pomona , CA Zip 91766 <br /> 8 . Describe , in detail , how the soil and/or water sample(s) beneath the piping or dispenser will be obtained : <br /> Discrete samples will be collected using a metric soil sampler and clean , staninless <br /> steel sleeves . <br /> 9 . a . Handling of excavated soil (Contaminated Soil Hazardous Waste Hauler) : <br /> Name EWS Hauler Registration # Phone ( 877 ) 227-0189 <br /> Address 31915 Industrial Lane City Parker South , AZ Zip 85344 <br /> b . If soil is not to be hauled , describe what will be done with it: <br /> if soil is not contaminated , it will be spread on -site . <br /> 4of6 <br />
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