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REMOVAL_2000
Environmental Health - Public
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EHD Program Facility Records by Street Name
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2300 - Underground Storage Tank Program
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PR0232264
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REMOVAL_2000
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Entry Properties
Last modified
3/4/2021 4:58:34 PM
Creation date
11/5/2018 11:13:45 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
REMOVAL
FileName_PostFix
2000
RECORD_ID
PR0232264
PE
2381
FACILITY_ID
FA0003808
FACILITY_NAME
JIFFY LUBE #1478
STREET_NUMBER
1209
Direction
E
STREET_NAME
HAMMER
STREET_TYPE
LN
City
STOCKTON
Zip
95210
APN
08818032
CURRENT_STATUS
02
SITE_LOCATION
1209 E HAMMER LN
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\H\HAMMER\1209\PR0232264\REMOVAL 2000.PDF
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EHD - Public
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1 <br /> 8. a. De be beltUlz Ptu and? Inert tanks_ <br /> c o <br /> b. Tank/Piping Hauler. <br /> Name �W'Iuof'- C'N IN�— <br /> Address46fkz?- Ve City 1C4M0N,0 71p <br /> Phone No4 ,O1OJ <br /> Hauler Registration M(if hauled as hazardous) $3 3 <br /> C. TankMping Disposal Site: <br /> � <br /> Name 0JZA4'lS'7"•Iv 11,1c- <br /> ON19 Z1P <br /> Address A � g �V1� City gt` ri <br /> � <br /> Phone No ✓`{ Ib 15 133 <br /> EPA mN(if transported to a permitted TSD facility) <br /> 9. Is the sampling firm an Independent third patty from the contractor? YES� NO(] <br /> 9a. Describe,in detail,how the soli and/or water sample(s)beneath the tank and plping will be obtained: <br /> W I I - lZeAu} 31 os F"-r (Nib H Jfo,sa' VSE <br /> 0;g4-$5 C�69V' 1 PLA'Snc. faNO G r- M(2 7X FWrf 9iIPE� <br /> 10. Describe how the excavation will be backfilled with suitable material upon removal: <br /> GL'4-55 -14- I" I C-Of1Pf z'r k( (Tif 60mpamlz- <br /> 11. Handling of excavated soli: <br /> a)What material will be used to line the tank pit and cover the stockpile? <br /> g MlL�' VIS JEN(�- <br /> b)What will be the final destination of the excavated stockpile? <br /> 141W A01V0_ 0"j,CAt, <br /> c)Contaminated BOB Haz ous Waste Hauler. <br /> Name `fir "wCo J ht- Hauler Registration# �s <br /> Address 2S5 PA V.� 5V0 City (L) cR K 0 N n ZIP <br /> Phone No. 0 <br /> EH 23 046(Revised 08/13199) Page 5 <br />
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