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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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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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& a. Describe the method that will be utilized to purse and/or inert the <br />9. <br />10. <br />1L <br />b. Tank/Pipin(g' H� a�uler, - <br />Name w <br />Phone <br />Hander RegisbI tion * (if hauled as hazardous) <br />C. Tank/Piping Disposal Site: <br />til c4z-1 <br />Phone <br />City- Y:Zip.9 376 <br />CitySl k4%r,,J Zip <br />a<( - <br />Ep..1 M# (Ir transported to a permitted TSD facility) <br />Describe. in detail. how the soil and/or water sampiefs) beneath the tank and piping will be obtained: <br />Describe how the excavation will be balled with suitable material upon removal: <br />G 1 <br />Handling of excavated soil: <br />a) What will be used to line the tank pit and cover the stockpile? <br />b) What lata be the anal desdttadon of the c=rated stockpile? <br />C) Contaminated scA Hazardous Waste Hauler- <br />Name <br />aulerName C 1 t/ u L C" L'II^ Hauler Registration #1 J "I 0 <br />Address . V ��.� . CSI �-' l" �O City V ✓ — C `-i Zip -S �S / (-- <br />Phone No. ( 1 ) <br />L� k k pl,)� h,- � V�14NNO I.a <br />Page 5 <br />
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