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REMOVAL_1998
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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PR0231311
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REMOVAL_1998
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Entry Properties
Last modified
9/25/2019 9:18:54 AM
Creation date
11/5/2018 12:11:42 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
REMOVAL
FileName_PostFix
1998
RECORD_ID
PR0231311
PE
2381
FACILITY_ID
FA0003775
FACILITY_NAME
TIGER LINES INC
STREET_NUMBER
927
Direction
E
STREET_NAME
BLACK DIAMOND
STREET_TYPE
WAY
City
LODI
Zip
95240
APN
04903033
CURRENT_STATUS
02
SITE_LOCATION
927 E BLACK DIAMOND WAY
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\B\BLACK DIAMOND\927\PR0231311\REMOVAL 1998.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 /> eAQ,4o.1 1-/O,4. dz'5vAfu/nE � FAN O2�t rcE —2S�S <br /> b. Tank0ping Hauler,. <br /> Name <br /> Address ZSS P42"t. 31 ✓O. City 21P <br /> Phone No{ 670 74/62 <br /> 1 5-33 <br /> Hauler Registration R(if hauled as hazardous) GgD 004 uTl 5 Q7 <br /> C. Tank0ping Disposal Site: <br /> Name z�alc/L <br /> Address 2 SS )P"91 L &&-L'0 ' City ^'-A�41/yaL-0 71P 9yd'O <br /> PhoneNo.( .70 1 cl7F0 --?q6Z <br /> EPA MO(if transported to a permitted TSD facility) C+4 r7 Od 9 y� 1` <br /> 9. Is the sampling firm an independent third party from the contractor? YES K"NO(] <br /> 9a. Describe,In detail,how the soil and/or water sample(s)beneath the tank and piping will be obtained: �� So/G Sim/ <br /> � U 2 <br /> QOrr�!/� 5,,r <br /> ��✓E- EAio t✓ru. .B��Er�u��,.r�Xl�F1�✓ ,f��4.., �U� c5-���65 c�smo� <br /> ifimEni/�r6o� Gti> e.v /CE /ItVq <br /> 10. Describe how the excavation will b4ackfi led with suitable material upon removal:Ir T /� U� /Yd lSl�iv6O R.csO <br /> cLEftN EXG¢l.I¢7L�O SD/L��.i1C�.O/NTD �JTTdy�O'��' <br /> Co�O 9�TL�O� `Qom Cne90E �i c✓i� /B GROo�y o I <br /> 11. 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 /> /F So/LS E a—e-64 �as� zl-'s 20X,iI, <br /> c)Contaminated Soil Hazardous Waste Hauler. <br /> Name T//YQG/�G Hauler Registration N 2,66 7 <br /> Address 55-1 "t/ ^�''Q '1g4V Qe . city L 0,121 71P19_!!572!:Le2 <br /> Phone No.( 209 ) YI' Z- <br /> EH 23 046(Revised 10119198) Page 5 <br />
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