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REMOVAL_2003
Environmental Health - Public
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EHD Program Facility Records by Street Name
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2300 - Underground Storage Tank Program
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PR0522012
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REMOVAL_2003
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Last modified
4/1/2020 11:52:53 AM
Creation date
11/2/2018 4:15:09 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
REMOVAL
FileName_PostFix
2003
RECORD_ID
PR0522012
PE
2361
FACILITY_ID
FA0014985
FACILITY_NAME
CECILIANI, VERN
STREET_NUMBER
20069
Direction
S
STREET_NAME
CEDAR
STREET_TYPE
AVE
City
TRACY
Zip
95304
CURRENT_STATUS
02
SITE_LOCATION
20069 S CEDAR AVE
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\C\CEDAR\20069\PR0522012\REMOVAL 2003.PDF
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EHD - Public
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8. a. Describe the method that will be utilized to purge and/or inert the tank(s): <br /> b. Tank/Piping Hauler: <br /> Name 0leE0-f0" <br /> Address 0• B(7 L� 1�7� CityAAWWAV d- Zip <br /> Phone No.( 530 <br /> Hauler Registration# (if hauled as hazardous) C <br /> C. Tank/Piping Disposal Site: <br /> Name <br /> Address c' SS PARe T)Jp. City /t�iea,.( Zip 9yiol <br /> Phone No.( ) <br /> EPA ID# (if transported to a permitted TSD facility) C A DWqtGX 2- <br /> 9. <br /> 9. Is the sampling firm an independent third party from the contractor? YES)d NO[] <br /> 9a. Describe,in detail,how the soil and water sample(s)beneath the tank and piping will be tain d: <br /> L L V dVN <br /> it <br /> l 1 13S f tk� Fenn P.,v<ZkoS. �- 1Gw ateri GtSO� A Ctc(Gbvs�. <br /> 10. Describe how the excavation will be backfilled with suitable materiall upon removal: <br /> �ac : lJ <br /> LU: 1 A GRA141WTN <br /> ►N �-�lr �C' <br /> 11. Handling of excavated soil: /r Orf' / U-r'(-4l R•!'f� , <br /> a)What material will be used to line the tank pit and cover the stockpile? <br /> b)What will be the final destination of the excavated stockpile? <br /> c)Contaminated Soil Hazardous Waste Hauler: <br /> Name Hauler Registration# <br /> Address City Zip <br /> Phone No.( ) <br /> EH 23 046(Revised 3/15/02) Page 5 <br />
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