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REMOVAL_1998
Environmental Health - Public
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EHD Program Facility Records by Street Name
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BLACK DIAMOND
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927
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2300 - Underground Storage Tank Program
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PR0231311
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REMOVAL_1998
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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
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SJGOV\rtan
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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 /> eflQfo.✓ cyDuywDESv�fumE,�� F `� Oa�l )cE —2S <br /> G <br /> b. Tank/Piping Hauler. <br /> Name <br /> Address ZSS P42 L &_V40. city Zip <br /> Phone No.0670 ) 9-7'0- 7y62 <br /> 15-33 <br /> Hauler Registration N(If hauled as hazardous) Gf}Q 004s <br /> �,_T :�97 <br /> c. Tank/Plping Disposal Site: <br /> Name i�aIG/GG <br /> Address <br /> Z SS 1�5YZ2 r�D , city 4Ky,-1ry4,,0 Zip 9YPo <br /> Phone Not 570 1 4,�16 Z <br /> EPA IDM(it transported to a permitted TSD facility) �}D Od 9 yGG 1c <br /> 9. Is the sampling firm an independent third party from the contractor? YES K'NO]] <br /> 9a. Describe,in detall,how the soil and/or water sample(s)beneath the tank and piping will be obtained: <br /> v 2 <br /> S�in4/ec �POcr.�li�Svt6,v'O��l'd.CE �r'c 2. �� �X�Eoa/S9iJ/tom TrJ .4-•g'B,a'4�.=' <br /> $LEc'7/E— E�ios 6✓/cc .8&sc-o������ni1�Fi� �?L��" �U� 5-sa��t6S adsr�a�+ <br /> E <br /> ccE /1,vO >i?/ 5�2i60 h�C /1+ifi�o G� <br /> 10. Describe how the excavation Will be/backfilled with suitable material upon removal: /a y��/yB�s��vEt�cgi�O <br /> GLE�9NEXa4t 5�q SD/� ,l����IN� �7�"� <br /> /B ,y <br /> Coinp9 ! '`Qoir�Cra90E �i� wru !�E Ole /lorS1 Dnp <br /> ,oar r 8 <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 /> L' T BE vs5a f�S jAvv Gil Bim'~ /GG <br /> c)Contaminated Soil Hazardous Waste Hauler. <br /> Name Hauler Registration M 0016 7 <br /> Address 55—/ /t/ -94QWgA'//4•'v QO • city !moo) zip _2j <br /> � <br /> Phone No.( <br /> EH 23 046(Revised 10119198) Page 5 <br />
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