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REMOVAL_2004
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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PR0523176
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REMOVAL_2004
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Entry Properties
Last modified
4/1/2020 11:52:53 AM
Creation date
11/2/2018 4:53:32 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
REMOVAL
FileName_PostFix
2004
RECORD_ID
PR0523176
PE
2332
FACILITY_ID
FA0015646
FACILITY_NAME
PANSKI PROPERTY
STREET_NUMBER
121
Direction
S
STREET_NAME
CHEROKEE
STREET_TYPE
LN
City
LODI
Zip
95240
APN
04314021
CURRENT_STATUS
02
SITE_LOCATION
121 S CHEROKEE LN
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\C\CHEROKEE\121\PR0523176\REMOVAL 2004.PDF
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EHD - Public
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Md <br />8. a. Describe the method that will be utilized to purge and/or inert the tank(s): <br />/S /b.s j -r y c e <br />b. <br />C. <br />Tank/Piping Hauler: <br />Name (-.)eS+- Coa S+ EgoiD <br />Address �.0• l3ox City TI'r1ocV- Zip 9x3$1 <br />Phone <br />(.Go- 93-)5 <br />Hauler Registration # (if hauled as hazardous) ! VVrl' <br />Tank/Piping Disposal Site: <br />Name l_je.s1- Coaj} (fqu"P <br />L <br />Address 1540 ti. L: nntu•+oJ Avt City Tur10uK Zip 95380 <br />Phone <br />Gk- 4N-7 <br />EPA ID# (if transported to a permitted TSD facility) N /R <br />9. Is the sampling firm an independent third party from the contractor? YES Pj NO [ ] <br />9a. Describer in detail, how the soil and/or water sample(s) beneath the tank and piping will be obtained: <br />10. <br />11 <br />Describe how the excavation will be backfilled with suitable material upon removal: <br />W& Rro ft. W/ e -w -u&44 So, ] <br />Handling of excavated soil: <br />a) What material will be used to line the tank pit and cover the stockpile? <br />None Occur A'1' +�Mt OCerno,1a.l <br />b) What will be the final destination of the excavated stockpile? <br />�o�wa�Q L -0'j Cm ;F NecC.Sw <br />c) Contaminated Soil Hazardous Waste Hauler: <br />Name J' T� Or'� 0:1 Hauler Registration # y95� 9q <br />Address .351 ri. �ccKna+. 2a City tak Zip 95 40 <br />Phone No.( eZ 09 <br />EH 23 046 (Revisedl0/16/03) Page 5 <br />
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