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REMOVAL_2004
Environmental Health - Public
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EHD Program Facility Records by Street Name
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BENJAMIN HOLT
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3011
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2300 - Underground Storage Tank Program
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PR0231883
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REMOVAL_2004
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Entry Properties
Last modified
9/25/2019 9:18:52 AM
Creation date
11/5/2018 11:59:58 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
REMOVAL
FileName_PostFix
2004
RECORD_ID
PR0231883
PE
2351
FACILITY_ID
FA0002111
FACILITY_NAME
BEN HOLT SHELL
STREET_NUMBER
3011
Direction
W
STREET_NAME
BENJAMIN HOLT
STREET_TYPE
DR
City
STOCKTON
Zip
95219
APN
10018010
CURRENT_STATUS
02
SITE_LOCATION
3011 W BENJAMIN HOLT DR
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\B\BENJAMIN HOLT\3011\PR0231883\REMOVAL 2004.pdf
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EHD - Public
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8. a. Describe the method that will be utilized to purge and/or inert the tank(s): <br /> J- <br /> b. Tank/Piping Hauler: <br /> C I�- <br /> Name <br /> Address ✓ City---&' Zip 1 l 7I Pl <br /> Phone No.( 0 <br /> Hauler Registration# (if hauled as hazardous)_ L,4p 1 fJ 6-)'0 ,3 0 <br /> C. Tank/Piping Disposal Site: <br /> Name �r <br /> 6f 9 <br /> Address rJ �� l ✓ City I L 11 V Zip <br /> Phone No.( ---) <br /> EPA ID# (if transported to a permitted TSD facility) rJfl <br /> 9. Is the sampling firm an independent third party from the contractor? YES< NO[] <br /> 9a. Descrjbe,in detail,how the soil and/or water sam le(s)benBath the tank and pipetwill ob <br /> tr <br /> e, Fvirepi Kul-Kere " a&W blee iol�, Lel%E t- <br /> c3-O f wq r ecceif l val: <br /> 10. Describe how the excavation will be backfilled with s table material n removal: <br /> pqjel j / r - Pei � /' VV21 <br /> 11. Handling of excavated soil: <br /> a)What material will be used to line the tank pit and cover the stockpile? <br /> f Pf A( `�O_ C <br /> a Ozfr <br /> b)What will be the final destination of the excavated stockpile? <br /> I C`h%WI lei � ►� IFv vlCj � <br /> ? jy4ie`ql <br /> c)Contaminated Soil Hazardous Waste Hauler: �Q <br /> Name I F k Hauler Registration# <br /> Address—M61- cl e fi City��q I kCt V Zip <br /> Phone No. <br /> EH 23 046(Revised 10/16/03) Page 5 <br />
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