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REMOVAL_2000
Environmental Health - Public
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2300 - Underground Storage Tank Program
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PR0516228
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REMOVAL_2000
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Entry Properties
Last modified
7/6/2020 4:43:35 PM
Creation date
11/4/2018 3:00:22 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
REMOVAL
FileName_PostFix
2000
RECORD_ID
PR0516228
PE
2381
FACILITY_ID
FA0009287
FACILITY_NAME
NORTH STOCKTON AUTO SVC INC
STREET_NUMBER
8709
Direction
N
STREET_NAME
DAVIS
STREET_TYPE
RD
City
STOCKTON
Zip
95209
APN
07242018
CURRENT_STATUS
02
SITE_LOCATION
8709 N DAVIS RD
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\D\DAVIS\8709\PR0516228\REMOVAL 2000.PDF
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EHD - Public
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V*..00 y <br /> 1I. GENERAL I:NFCR-MATICN. <br /> Obcair.an EPA Site Number Trot! Lt.- Deps.rtmen:of Taxi: S4:^Stances Control (820) 51-TOXIC for tzmPorzr. <br /> stazarieus waste:emuval acti,;itits associated with unde:grourd storage tank(UST) ret,ovals. <br /> Z Dispasai:nfonmation: Public FeaLth Services Undergratnd 3=32c Tank Disposition Trac_ang Record (U5- <br /> Tracking Record. _age 10) shall accompany each tank r-movcd from site. T3,k(a)will be Issued an iderrfi== <br /> rumber which PHS=HD s r-presen[adve will attic on the UST Tacking Record. Contractor will affix same <br /> identif catier.number once tactic end using fluorescent spray paint. Contaminated tart's and'',it piping are tc foe <br /> xansperted under Hazardous waste Manifest by a state registered hazardous waste haulcr. <br /> Contractor to Provide: Combustible/Flammabie gas dr-error (to ver� rhe ca'er Explosive Limit ,—ii <br /> atmcsphem and ori len level of terak prior to lifting from excavadoa). adequate rn,nher(s) and aupraera:c I C. <br /> of fire extigwisher(si, barriers to sectxe:tte area as necessar) to minimize traffic and pedestrtaa icerfereece, ar:! <br /> "ucresco u sprav pan:to affix ark ideraificaticn:stm'xrs. It shall 'x:he?rojec:ntanzger's responsibility for <br /> compliance with zit health do safety regulations atld requirements, which shall be sircdy ache:ed o at all tics <br /> during the CU,3C of the closure activities. <br /> a The PHS-EED permit shall be or site during=k excavation and removal. <br /> 5. Any changes in this document shall be approved b) PHS-EI-:D prior to initixing wore. <br /> 6. Closure-in-Place; If Closure•in-Place +s :he suggested method of abandonment, ccmplere form <br /> EH 23 039 and submit written approval .from the'sal Fire Depart-ent, <br /> T Temporary Closure: If Temporary Closure is the suggested method of abandcr-ment, complete <br /> and submit this form and a written approval from the loci Fir_Depanrism. <br /> S. The following documentat;on shall be submitted within 30 days of the tank removal date: <br /> a) Analytical results. maned direcdy hem laboratory to PHS•E31). ircludirg a chain of cusEdy Inc Qu:1ij <br /> assurance aid quality con of(QA &QC). <br /> b) UST Traccicg Renard Sheet(s) and/or Tank Hazardous Waste Nlanifest',$). <br /> c; Tanis Closure Certificatien Form;DISC fern 1249). <br /> dt Hazardous Waste Manifests for pip¢t„ rinsate, -residual fuel, or waste oil reeeipc. <br /> ci SubmGt the backfill excavation,certflcate as required b) San loaquin County and the Lncorporattc C;?; <br /> Building Depa�.ments. Ttis report w:1 be refs:red to the appropriate agency for their re. ew. <br /> A site which hat had CST(s) removed, shall not be crnstdered for final closure until the above items are <br /> submitted for review. <br /> Li. SITE MITIGATION; <br /> Lt he vent con:aminat:on s observed. ccrfirmed or suspected as a result of a leakirR UST sys:em it is (tr. <br /> resporsibtlity e'.he T.vaer or operator ie submit a wcry.plan cc, PHS-EHI) Site Atigacion Lrrua and ha re it <br /> approved prier tc iridating any assessmeas or remediation activities. To minimize de:ays, the work pian may rt <br /> submi:ad Concurrent wig S k cicsure or :.ata laLon pians. Address out cop,• of:ice•%rork plan to the Sire <br /> Miti;arioa Unit for revira. If'h a:'.e is not ccirertty n he Lod Oversight Prog am, a billing for..a and a <br /> minicnm fee 01"St be sutrnitted:t:th tkte work plan. For furcher ss<_!2nce ceaac: the Site yCrga on Unit a <br /> (_09)468-3.140. <br /> E'ri 23 v:76 (pev:sed iii,`13/99) <br /> Page 2 <br />
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