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COMPLIANCE INFO 2013-2015
Environmental Health - Public
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2300 - Underground Storage Tank Program
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PR0505867
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COMPLIANCE INFO 2013-2015
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Last modified
7/6/2020 4:40:19 PM
Creation date
11/5/2018 4:46:06 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2013-2015
RECORD_ID
PR0505867
PE
2361
FACILITY_ID
FA0007059
STREET_NUMBER
192
STREET_NAME
LATHROP
STREET_TYPE
Rd
City
Lathrop
Zip
95330
CURRENT_STATUS
01
SITE_LOCATION
192 Lathrop Rd
P_LOCATION
07
P_DISTRICT
003
QC Status
Approved
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SJGOV\rtan
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\MIGRATIONS\L\LATHROP\192\PR0505867\COMPLIANCE INFO 2013-2015.PDF
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EHD - Public
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• <br />5. Decontamination Procedures: Not Appicable <br />a. Will piping be decontaminated prior to removal? <br />b. Identify contractor performing decontamination: <br />mama <br />Address <br />c. Describe method to be used for decontamination: <br />0 <br />YES[] NO[] <br />RECEIVE[) <br />NOV 13 2015 <br />Phone( > ENVIRONMENTAL <br />City Zip <br />d. Describe how rinsate material will be stored onsite prior to manifesting offsite: <br />e. <br />Rinsate Hauler and permitted Treatment, Storage & Disposal Facility: <br />Hauler Name Phone (—)- <br />Address City <br />Permitted Disposal Site <br />Hauler Reg# <br />Zip <br />6. a. Describe the method that will be utilized to purge and/or inert the piping: Not Appicable <br />b. Piping Hauler: <br />Name Phone ( ) <br />Address City Zip <br />Hauler Registration # (if hauled as hazardous) <br />c. Piping Disposal Site: <br />Names <br />Crlrlraaa <br />EPA ID# (if transported to a permitted TSD <br />7. Is the sampling firm an independent third party from the contractor? <br />a. Identify sampling firm: Not Applicable <br />b. Identify laboratory performing analysis: <br />Names <br />Address <br />Phone <br />City <br />Zip <br />YES[] NO[] <br />Phone(_) <br />City Zip <br />Phone <br />City <br />Zip <br />8. Describe, in detail, how the soil and/or water sample(s) beneath the piping or dispenser will be obtained: <br />Not Applicable <br />4 <br />a. Handling of excavated soil (Contaminated Soil Hazardous Waste Hauler): <br />Name Hauler Registration # <br />Address City <br />b. If soil is not to be hauled, describe what will be done with it: <br />4 <br />Not Applicable <br />Phone (—)- <br />Zip <br />
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