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REMOVAL_2021
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0502021
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REMOVAL_2021
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Last modified
9/14/2021 11:41:38 AM
Creation date
6/9/2021 3:39:01 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
REMOVAL
FileName_PostFix
2021
RECORD_ID
PR0502021
PE
2361
FACILITY_ID
FA0005302
FACILITY_NAME
SPRECKELS SUGAR COMPANY
STREET_NUMBER
20500
STREET_NAME
HOLLY
STREET_TYPE
DR
City
TRACY
Zip
95304
APN
21216010
CURRENT_STATUS
02
SITE_LOCATION
20500 HOLLY DR
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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SAN JOAQUIN <br />COUNTY <br />Environmental Health Department <br />8. A copy of this approval letter and the EHD permit packet shall be on site during tank excavation <br />and removal. <br />9. See `Sampling Protocol for Routine Tank Removals' and `Verification Analysis' on page 6 and 7 <br />of the permit application for required analytical tests and number of samples to be taken and <br />witnessed by EHD. <br />10. The following information must be submitted within 30 days after the UST removal date: <br />a. Analytical results: Only results that come directly from a third -party California certified <br />laboratory with affixed chain of custody will be accepted by EHD <br />b. UST Disposition Tracking Record and/or hazardous waste manifest for tank and piping <br />c. Tank Closure Certification Form (DTSC Form 1249) <br />d. Hazardous waste manifest for rinsate and residual product <br />e. Backfill Excavation Certificate (as required by the San Joaquin County or incorporated <br />City building department) <br />11. Permit expires 180 days from the date of approval. If an extension to the expiration date is <br />required, a written request must be submitted to this office prior to the expiration date. <br />If you have any further questions, please contact me at (209) 616-3061. <br />Thank you, <br />Carol Presto <br />Environmental Health Specialist <br />Cc: <br />Mark Eshelman, meshelman(c�phelandevco.com <br />Holly Commerce Center, LLC, PO BOX 930, Stockton, CA 95201 <br />
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