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INSTALL_2022
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0518288
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INSTALL_2022
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Entry Properties
Last modified
1/18/2023 9:33:30 AM
Creation date
5/31/2022 1:10:56 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
INSTALL
FileName_PostFix
2022
RECORD_ID
PR0518288
PE
2351
FACILITY_ID
FA0013810
FACILITY_NAME
COSTCO WHOLESALE #658
STREET_NUMBER
3250
Direction
W
STREET_NAME
GRANT LINE
STREET_TYPE
RD
City
TRACY
Zip
95377
CURRENT_STATUS
01
SITE_LOCATION
3250 W GRANT LINE RD
P_LOCATION
03
QC Status
Approved
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SJGOV\kblackwell
Tags
EHD - Public
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DocuSign Envelope ID:57852BDB-FD2B-4170-B5C8-435307C98954 <br /> SAN1 O A Q U I N Environmental Health Department <br /> COUNTY <br /> c. Describe method to be used for decontamination: <br /> Nitrogen to inert the lines prior to removal. Simple Green/water to wash the lines out. <br /> d. Describe how rinsate material will be stored onsite prior to manifesting offsite: <br /> Rinsate will be stored in 55 gallon drums on site until manifested off site <br /> e. Rinsate Hauler and permitted Treatment, Storage & Disposal Facility: <br /> Hauler Name Safety-Kleen Phone 661-762-6200 —Hauler Reg# 060519550241 BD <br /> Address_ 2500 Lokern road City Buttonwillow _Zip. 93206 <br /> Permitted Disposal Site <br /> 2500 Lokern Road, Buttonwillow, CA 93206 <br /> 6. a. Describe the method that will be utilized to purge and/or inert the piping: <br /> Compressed Nitrogen <br /> b. Piping Hauler: <br /> Name Safety-Kleen Phone 661-762-6200 <br /> Address' 2500 Lokern road City Buttonwillow _Zip 93206 <br /> Hauler Registration # (if hauled as hazardous) 060519550241 BD <br /> c. Piping Disposal Site: 2500 Lokern road <br /> Name Safety-Kleen Phone 661-762-6200 <br /> Address- 2500 Lokern road City_ Buttonwillow Zip 93206 <br /> EPA ID#(if transported to a permitted TSD facility)_ 45360 <br /> 7. Is the sampling firm an independent third party from the contractor? YES M NO [] <br /> a. Identify sampling firm: <br /> Name Kleinfelder Phone( 949) 727-4466 <br /> Address 24411 Ridge Route Drive, Suite 225 City Laguna Hills Zip 92653 <br /> b. Identify laboratory performing analysis: <br /> Name Pace National Phone ( 615 )773-9772 <br /> Address 12065 Labenon Road City Mt. Juliet, TN Zip 37122 <br /> 8. Describe, in detail, how the soil and/or water sample(s) beneath the piping or dispenser will be obtained: <br /> Using a hand auger,soil samples will be collected beneath each under dispenser containment sump at a depth not to exceed 2 feet beneath each <br /> sump.In addition,soil samples will be collected every 20 lineal feet beneath product piping,also at a depth not to exceed 2 feet beneath said piping. <br /> 9. a. Handling of excavated soil (Contaminated Soil Hazardous Waste Hauler): <br /> Name Safety-Kleen Hauler Registration# 060519550241 BD Phone 661-762-6200 <br /> Address- 2500 Lokern road City. Buttonwillow -Zip. 93206 <br /> b. If soil is not to be hauled, describe what will be done with it: <br /> If contaminated spoils are encountered they will be hauled to the appropriate facility and properly <br /> disposed of with required manifests. The location and means of disposal will be dependent upon the <br /> analytical results derived from soil sampling. <br /> 4of6 <br />
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