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REMOVAL_2000
Environmental Health - Public
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2300 - Underground Storage Tank Program
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PR0516243
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REMOVAL_2000
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Entry Properties
Last modified
8/12/2021 8:21:27 AM
Creation date
11/5/2018 3:19:44 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
REMOVAL
FileName_PostFix
2000
RECORD_ID
PR0516243
PE
2381
FACILITY_ID
FA0012529
FACILITY_NAME
STORAGE YARD - JOE OMACHI
STREET_NUMBER
35
STREET_NAME
JACKSON
STREET_TYPE
ST
City
STOCKTON
Zip
95205
APN
147-19-010
CURRENT_STATUS
02
SITE_LOCATION
35 JACKSON ST
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\J\JACKSON\35\PR0516243\REMOVAL 2000.PDF
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EHD - Public
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II. GENERAL L"�FORNIATICiv. <br /> Obtain an EPA Site Number from the Depsrttnen:of Toxic Suostances Control (ECO) 51-TOXIC for temperan_ <br /> bazar ma waste:e=uval aetivities associated with u�tdergrourd storage tank(UST) removals. <br /> Disposal:nformation: Public Halth Services Undergr=4 Snrasc Tank Disposition Trac clog Rrerd (U5: <br /> Tracking Record.page 10; shall accompany each tank removcd from site. Twk.$)will be issued an idencflcanor: <br /> number which PHS-EHD s=_presentative will acte on die UST Tracldag Record. Contractor will affix same <br /> i3entircatior number onto took end using fluorescent spray paint. :ortm-urinated tanks a*d',r pining are tri be <br /> transported tinder Hazardous Waste Mani'est by a sate re:pswred hazardous waste hauler. <br /> -, Contractor to Provide: CombustiblelFlammable gas dee !Li <br /> crcr tto verify the Lower Explosive Limit ti <br /> atmcsphere and oxygen'.ev'el of tack prior to lifting from excavahoti, adequate m,nbct(s) and apercp^:ate^ipe(s) <br /> of fire oxtlrivisher(s), barriers to secure Ae area as necessary to minimiac cafflc and pedestrian iF_•erfere::ce. ar-d <br /> Pucrescant spray par.:to affix ark ide.-:rificatior.:umoers. It shall ba 3149 project manager's resporsibiliri for <br /> compliance with all health At safety'reg tla,iuons and :tquir linens, whi.h shall be strictly adaterrd to at all [iris <br /> durine the terse of the e10513e activi..ies. <br /> a The PHS-EHD permit sball be on site during tank excav^.tioa attd removal. <br /> 5. Any changes in this document shall a approved by PHS-EHD prior to initiating wprk. <br /> 5. Closure-in-Place: If Closure-in-Place is .he suggested mads d of abandonment, compierc forty. <br /> EH 23 039 and submit written approval from the local Fire Depart.-ant. <br /> ? Temporary Closure: 's Temporar,: Clesure is the sug;ested method of abaadcrmept, complete <br /> and submit this Eorm sod a written approval ftor.,the Soca.Fir- Department. <br /> s. The following documentation shall be submitted within 30 days of the tank removal dare: <br /> a) Analytical results. mailed directly Iran laboratcry to PHS-EHC. is clu&nq a chain of custody and qualizY <br /> assurance and quality coarol(QA&QC). <br /> b) UST Tracking Record Sheens) and/or Tank Hazardous Waste `lanifest's). <br /> C, Tank Closure Certification Form ;DTSC ferry 1249). <br /> dl Hazardous Winn Marlfestt for piping, rinsate, residual Orel, or waste ell receipt. <br /> ci Submit he backfin excavation cerdflcate as required by San Joaquin County and the ineorporatec Ciri <br /> Building Department. T:is r_cort wiIl be rc,e'=cd to he-appropriate agency for their review. <br /> A site which hat had UST(s) removed, shall not be crrisidered For final closure until the above iteral art <br /> submitted for review. <br /> IIi. SITE MITIGATIO`: <br /> I. in the event eottamitnatiea is observed, cceflrmed or suspected as a result of a'.eaking UST system it is the <br /> responsibility of It owner or operator:o submit a wcrx plan to PHS-EFID Site Mitigation Unit and have it <br /> approved prier tc ie;dat ng any assessment or remediation acrvities. To mitumize delays, the work pian may re <br /> subrai:r-d concur- �r wit tax c:esum or rutilaiion pians. Address one copy of the workplan to the Ste <br /> Micgadon Unit for revicx. If }nc%:'.= is c:rieatiy n t1:Loeai oversight program, a billing for, and a 5= <br /> minima fee,cast be submitted with the worti plan. For further assistance ecn.act the Site Mirgatioa Unit at <br /> r^6�) 465-34�C. <br /> Eli?' DM (F?ev^;ed '13i 99) page 2 <br />
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