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OENERAL INFORMATION: <br /> 1. Obinin an EPA She Number from the Department of Health Services (916) 324-1781 for temporary <br /> hazardous waste removal activities associated with underground storage lank (UST) removals. <br /> 2. Dfsposal information: Public I Icallh Services 'i-racking Sheet shall accompany each tank removed <br /> from site. Tank(%) will he issued An Identification number which PHS-EHD's representative will note <br /> on file lank Trncking Sheet. Contrnctr)r will affix snnte identification number onto tank end using <br /> fluorescent spray palni. Contaminated tanks and/or piping are to be transported under Hazardous <br /> Waste Manifest by a state registered hazardous waste hauler. <br /> 3. Contractor to Ptooic: Cumbustible/Flanunable gas detector (lo verify the Lower Explosive Limit <br /> (I.EI)of mosphere And oxygen level of tank prior to lifting from excavation), adequate number(s)and <br /> ahproptinfe type(l)or rite extbngulsher(s), barriers to secure tine area As necessary to minimize traffic <br /> and pedestrian Interference, And fluorescent splay paint to affix tank Identification numbers. It shall <br /> he tine project manager's responsibility for complinnce with all health & safety regulations and <br /> requirements,which shall be strictly adhered to at all times during the course of the closure activities. <br /> 4 '1 he PI IS-EI ID perudt shall be on site during tank excavation and removal. <br /> 5. Any changes In this document shall be Approved by PHS-EHD prior to Initialing work. <br /> fi. Closure-la-Plnce: If Closure-In-Place is the suggested method of abandonment, complete form <br /> EH 23 039 and submit written approval from tine local Fire Department. <br /> 7. Tempnrnry Closure: If Temporary Closure is the suggested method of abandonment, complete <br /> form Ell23 046 and submit written approval from the local Fire Department. <br /> 8. The following docaatentntion shall be sabttd(ted within 30 days of the tank removal <br /> dale: <br /> R) Analytical results, mailed directly from laboratory to PI IS-EHD,including a chain of custody. <br /> b) Tank Tracking Record Shcet(s) and/or Tank Hazardous Waste Manifest(s). <br /> C) Ilazardous Waste Manifests for piping, Ansate, residual fuel, or waste oil receipt. <br /> d) Submit the backfill excavaffon certificate as required by San Joaquin County and the <br /> Incorporated City Building Deparonenls. This report will be referred to file appropriate <br /> Agency rot ,heir review, <br /> A site which has had US'1'(s) removed,shall not be considered for final closure unlll the above Items <br /> fie qubmllied for review, <br /> EI 123 010 (Revised 7-10-92) Page 2 <br />