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REMOVAL_1995
Environmental Health - Public
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EHD Program Facility Records by Street Name
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4 (STATE ROUTE 4)
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21334
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2300 - Underground Storage Tank Program
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PR0506032
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REMOVAL_1995
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Entry Properties
Last modified
11/20/2024 9:08:20 AM
Creation date
11/5/2018 10:35:33 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
REMOVAL
FileName_PostFix
1995
RECORD_ID
PR0506032
PE
2381
FACILITY_ID
FA0007159
FACILITY_NAME
KINGS ISLAND
STREET_NUMBER
21334
Direction
W
STREET_NAME
STATE ROUTE 4
City
STOCKTON
Zip
95206
APN
12919002
CURRENT_STATUS
02
SITE_LOCATION
21334 W HWY 4
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\F\HWY 4\21334\PR0506032\REMOVAL 1995.PDF
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EHD - Public
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S. <br />9. <br />10. <br />11. <br />U. Describe the method that will be utilized to purge and/or inert the <br />b. Tanl\/Piping Hauler. <br />Name VQGL\G4lT 11\\iANTgEN—Ak SERV\Cf$ 1 -%-,NC. <br />Address L12Z0 COv-,ft bR. \ Sze, S City C C Zip gS3,16 <br />Phone No.( 83 3 - 0C15 Fi <br />Hiner Registration # (if hauled as hazardous) N1 is <br />C. Tank/Piping Disposal Site: <br />Name '2:0.\wt,IG�-E t r SAC\iFaw Ent T(1 <br />Address 3St5 Zip 956 23 <br />Phone No.( ',,\(o ) ti21—\qVO <br />EPA 1D# (if transported to a permitted TSD facility) SIA <br />Describe, in detail, how the soil and/or water sample(s) beneath the tank and piping will be obtained: <br />Describe how the excavation will be backMed with suitable material upon removah <br />�q GrZPV E>_ TO C.aM �?EN SFa`tE FO\Z SANK VC\^UMNE COV EZE� \3\(, <br />C�fAN SO\\+rCpyt\�pc�E'�, qN� P£A GRAVEC TO rr1fJTC4t EX\ST\NG <br />50 R i -fats✓ <br />Handling of excavated soil: <br />a) What material will be used to line the tank pit and cover the stockpile? <br />b) What will be the final destination of the excavated stockpile? <br />W%--xArmaN-r �faNilF\LL <br />c) Contaminated Soil Hazardous Waste Hauler. <br />Name S \ro CLA\ (ZyCk\N G Hamer Registration # \(0 \ 3a O <br />Address 3'180 W • \..\NNE Z<iAZ City. \t?IC4Cy 1CA Zip 953')% <br />Phone No. ( Z -o9 ) $3S—S9 G3 <br />\PATE) <br />Page 5 <br />sp\t, %.. t l raOT 3£. HA2A-t6ov5 <br />
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