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n.Y73[.2tttS� 3:3:13 2�9#533433 FIFTY FLOOR PAGE 03 <br /> R. GENERAL NFDFkIATIOW: <br /> 1. obtain an EPA Site Number Rum the Depaztincat of Toxic So stances Control(800)61-ToIaC for temporary <br /> hazardous waste removal activities associated with underground storage tank(UST)removals. <br /> 2. Disposal Information: SIC EfID's Underground Storage Tank Disposition Tracking Record(UST Tracking Record, <br /> page 10)shall accompany each tack removed iiom site. Tank(s)will be issued an identification mr-nber whieh E_XVs <br /> representative will note on the UST Tracking Record. Contractor will affix same identification number onto tank end <br /> using fluorescent spray paint. Contaminated tanks andior piping are to be transported under Hazardous Waste <br /> Manifest by a state registered hazardous waste hauler. <br /> 3. Contractor to Provide: Combusttble/Flam enable gas detector(m verify the Lower Explosive Liurit(LEL)atmosphere <br /> and oxygen level of tank prior to lifting from excavation),adequate numbers)and appropriate types)a€trrz <br /> extinguisher(s),barriers to secure the area as necessary to minimize traffic and pedestrian interference,and fluorescent <br /> spray paint to affix tank identification numbers. It shall be the project manager's responsibility for compliance with al} <br /> health&safety regulations and requirements,which shall be strictly adhered to at all times dining the course of the <br /> closure activities. <br /> 4 The EHD permit shall be on site during tank excavation and removal. <br /> 5. Any changes in this document shall be approved by EMD prior to initiating work. <br /> 6. Closure-In-Place: if Closure-in-Place is the suggested method of abandanmrnu,complete form <br /> EH 23 039 and submit written approval from the local Fire Department. <br /> Z Temporary Closure: If Temporary Closure is the suggested method of abandonment,complete <br /> and submit this form and a written approval from the local Fire Department. <br /> E. The following documentation shall be submitted within 30 days of the tank removal date. <br /> 3) Analytical results,mailed directly from laboratory to SHD,including a chain of custody and quality assurance <br /> and duality control(QA&QC). <br /> b) UST TrsekL- <br /> ,Record Sheet(g)and/or Tank Hazardous Waste Manifest(s). <br /> C) Tank Clost_-e CerCfzration Form(DTSC form 1249). <br /> d) Hazardous}?urs•e Mauifss+a€€r piping,rinsate,residaal firel,or waste oil receipt. <br /> C) Submit the backfill excavation certificate as required by San Joaquin County and the incorporated City <br /> Building Departments. This report will be referred to the appropriate agency for their review. <br /> A site which has had UST(s)removed,shall not be considered for h5tal closure until the above iters are <br /> Submitted I'Vr review. <br /> M. SrIE?AMGATI31vr: <br /> }_ in the event contamination is observed,confirmed or suspected as a result of a leaking UST system it is the <br /> responsibility of the owner or operator to submit a work plan to EHD Site Mitigation Unit and have it approved prior <br /> to initiating any assessment or remediation activities. To=i-d,.n=de}ay s,LhP work plan may be submitted concurrent <br /> with tank closure or installation plans. Address one copy of the work plan to the Site Mitigation Unit for review. If the <br /> site is not currently in the Local oversight Program,a billing form and a$267 minimah fee must be subuutted with the <br /> work plan. For further assistance contact the Site Mitigation Unit at(209)468-3450. <br /> EM 23 046 (Revised 3/15/02) Page 2 <br />