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RECEN!"D <br />Ja-� <br />FILE COPY !SPR 17 2017 <br />ENVIRONMENTAL HEALTH <br />5. Decontamination Procedures: DEPARTMENT <br />a. Will piping be decontaminated prior to removal? YES [<] NO[] <br />b, Identify contractor performing decontamination: <br />Name L.A. Perks Poiroleum Specialists Phone 775 356-4403 <br />Address 765 L. Greg St City sparks Zip 69431 <br />c. Describe method to be used for decontamination: <br />Triple rinsing <br />d. Describe how rinsate material will be stored onsite prior to manifesting offsite: <br />55 gallon harfol <br />e. Rlnsate Hauler and permitted Treatment, Storage & Disposal Facility: <br />Hauler Name Advanced Chemical Transport, Inc Phone los 722-4ACT Hauler Reg# 4026 <br />Address 265 Riggs Ave. City Merced Zip 95341 <br />Permitted Disposal Site Ramos Gnvirnnrnenlal Sorvicor. <br />B. a. Describe the method that will be utilized to purge and/or inert the piping: <br />All Line to be blown back to existing tank farm Via Nitrogen <br />b. Piping Hauler: <br />Name L.A. Perks Petroleum Specialists Phone 775 358-4403 <br />Address 765 E Greg St. City Sparks Zip 89431 <br />Hauler Registration # (if hauled as hazardous) Non -hazardous after ldple rinsing has been conducted <br />c. Piping Disposal Site: <br />Name Forward Inc - Waste Disposal <br />Address 9999 S Ausun Rd <br />EPA ID# (if transported to a permitted TSD <br />7. Is the sampling firm an independent third party from the contractor? <br />a. Identify sampling firm: <br />Name Advanced Gee Environmonto] Inc <br />837 Shaw Rd <br />b. Identify laboratory performing analysis: <br />Name Enviro-Chem, Inc <br />Address 1214 Lexington Ave <br />Phone2( 09) 982-4298 <br />City Manteca Zip 95336 <br />YES P] NO [ ] <br />Phone 209 467-1006 <br />City Stockton Zip 95215 <br />Phone 909 590-5905 <br />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 />Samples to be collected from teeth of Backhoe ! shoves or using slide hammer sampler with extensions, Stainless steel tubes Ice chest <br />Etc. Analyses TPHG and BTEX. Samples collected 1112' beneath each sump <br />9, a. Handling of excavated soil (Contaminated Soil Hazardous Waste Hauler): <br />Name L & B Environmental, Inc Hauler Registration # Phone ( 209)932-0606 <br />Address 4460 S. Highway 99, Frontage Rd City Stockton Zip 95215 <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 reused as backfill material. <br />4 <br />