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REMOVAL_1995
Environmental Health - Public
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2300 - Underground Storage Tank Program
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PR0231105
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REMOVAL_1995
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Last modified
1/13/2021 12:48:03 PM
Creation date
11/5/2018 9:51:40 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
REMOVAL
FileName_PostFix
1995
RECORD_ID
PR0231105
PE
2361
FACILITY_ID
FA0003729
FACILITY_NAME
POLAR WATER INC
STREET_NUMBER
1029
Direction
W
STREET_NAME
FREMONT
STREET_TYPE
ST
City
STOCKTON
Zip
95203
APN
13527055/56
CURRENT_STATUS
02
SITE_LOCATION
1029 W FREMONT ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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SJGOV\rtan
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FilePath
\MIGRATIONS\F\FREMONT\1029\PR0231105\REMOVAL 1995.PDF
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EHD - Public
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GENERAL INFORMATION <br /> 1. Obtain an EPA Site Number from the Department of Health Services (916) 324-1781 for temporary <br /> hazardous waste removal activities associated with underground storage tank (UST) removals. <br /> 2. Disposal Information: Public Health Services Tracking Sheet shall accompany each tank removed from site. <br /> tank(s) will be issued an identification number which PHS-EHD's representative will note on the Tank <br /> Tracking Sheet. Contractor will affix same identification number onto tank end using fluorescent spray <br /> paint. Contaminated tanks and/or piping are to be transported under Hazardous Waste Manifest by a state <br /> registered hazardous waste hauler. <br /> 3. Contractor to Provide: Combustible/Flammable gas detector (to verify the Lower Explosive Limit (LEL) <br /> atmosphere and oxygen level of tank prior to lifting from excavation), adequate number(s) and appropriate <br /> type(s) of fire extinguisher(s), barriers to secure the area as necessary to minimize traffic and pedestrian <br /> interference, and fluorescent spray paint to affix tank identification numbers. It shall be the project <br /> manager's responsibility for compliance with all health & safety regulations and requirements, which shall be <br /> strictly adhered to at all times during the course of the closure activities. <br /> 4. The PHS-EHD permit shall be on site during tank excavation and removal. <br /> 5. Any changes in this document shall be approved by PHS-EHD prior to initiating work. <br /> 6. Closure-in-Place: If Closure-in-Place is the suggested method of abandonment, complete form EH 23 039 <br /> and submit written approval from the local Fire Department. <br /> 7. Temporary Closure: If Temporary Closure is the suggested method of abandonment, complete form EH 23 <br /> 046 and submit written approval from the local Fire Department. <br /> 8. The following documentation shall be submitted within 30 days of the tank removal <br /> date: <br /> a) Analytical results, mailed directly from laboratory to PHS-EHD, including a chain of custody. <br /> b) Tank Tracking Record Sheet(s) and/or Tank Hazardous Waste Manifest(s). <br /> c) Hazardous Waste Manifests for piping, rinsate, residual fuel, or waste oil receipt. <br /> d) Submit the backfill excavation certificate as required by San Joaquin County and the <br /> incorporated City Building Departments. This report will be referred to the appropriate agency <br /> for their review. <br /> A site which has had UST(s) removed, shall not be considered for final closure until the above <br /> items are submitted for review. <br /> EH 23 040 (Revised 7-10-92) Page 2 <br />
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