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REMOVAL_1998
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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PR0231073
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REMOVAL_1998
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Last modified
4/1/2020 11:52:52 AM
Creation date
11/2/2018 6:30:11 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
REMOVAL
FileName_PostFix
1998
RECORD_ID
PR0231073
PE
2361
FACILITY_ID
FA0002064
FACILITY_NAME
7-ELEVEN INC. STORE #14117
STREET_NUMBER
2725
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
CURRENT_STATUS
02
SITE_LOCATION
2725 COUNTRY CLUB BLVD
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved
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SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\C\COUNTRY CLUB\2725\PR0231073\REMOVAL 1998.PDF
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EHD - Public
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• <br />• <br />g, a. Describe the method that will be utilizer/ to purge and/or inert the tank(s): <br />I /1 - X>~ ick. <br />b. Tank[Piping Hauler: <br />Name Gni Glyn I `l c - <br />Address Z Farr CGGu�pV2r�{ City Ktichrnonlj Zip a <br />Phone No. rJ0) ' " �L — j �a <br />Hauler Registration # Cif hauled as hazardous) <br />c. Tankll'iping Disposal Site: <br />Name y�' 4���-�- Inc. <br />Address 255 P2rr' F--?00lr1V-9—rd city EZ C-rtcnd zip - G! <br />Phone No.( - <br />EPA ID# (if transported to a permitters TSD l'aesirty) <br />g. Describe. in detail, ]sow the soil and(or water sampie(s) beneath the tank and piping will be obtained: <br />10. Describe bow the excavation will be backfilled with suitable material upon removal: <br />00 <br />11. Handling of excavated soil: <br />a) What material will be used to line the tank pit and cover the stockpile? <br />F; e{ fabr+r✓ ��a�l steed .d en ,- d;�icrl5 wrsrrar,' <br />b) What will be the final destination of the excavated stockpile? <br />c) Contaminated Soil Hazardous Waste Hauler. <br />Name &Shire nv oirh-etlta I Hamer Registration #-2211 <br />Address '7,.bW- Rbai ~Z city 144Ae, f�''"ee Sty e 14 ZIP <br />Phone No. <br />Eli 23 046 (Revised 9/11/967 Paye 5 <br />
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