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w <br />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 <br />from site. Tank(s) will he issued an identification number which PHS-EHD's representative will note <br />on the Tank Tracking Sheet. Contractor will affix same identification number onto tank end using <br />fluorescent spray paint. Contaminated tanks and/or piping are to be transported under Hazardous <br />Waste Manifest by a state registered hazardous waste hauler. <br />3. Contractor to Provide: Combustible/Flammable gas detector (to verify the Lower Explosive Limit <br />(LEL) atmosphere and oxygen level of tank prior to lifting from excavation), adequate number(s) and <br />appropriate type(s) of fire extinguisher(s), barriers to secure the area as necessary to minimize traffic <br />and pedestrian interference, and fluorescent spray paint to affix tank identification numbers. It shall <br />be the project manager's responsibility for compliance with all health & safety regulations and <br />requirements, which shall be 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 <br />EH 23 039 and submit written approval from the local Fire Department. <br />7. Temporary Closure: If Temporary Closure is the suggested method of abandonment, complete <br />form EH 23 046 and submit written approval from the local Fire Department. <br />S. 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 he referred to the appropriate <br />agency for their review. <br />A site which has had UST(s) removed, shall not be considered for final closure until the above items <br />are submitted for review. <br />EH 23 040 (Revised 7-10-92) Page 2 <br />