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INSTALL_2003
Environmental Health - Public
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EHD Program Facility Records by Street Name
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99 (STATE ROUTE 99)
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2300 - Underground Storage Tank Program
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PR0506488
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INSTALL_2003
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Entry Properties
Last modified
11/19/2024 1:51:30 PM
Creation date
11/5/2018 8:20:47 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
INSTALL
FileName_PostFix
2003
RECORD_ID
PR0506488
PE
2361
FACILITY_ID
FA0007458
FACILITY_NAME
7-ELEVEN INC #32190
STREET_NUMBER
4943
Direction
S
STREET_NAME
STATE ROUTE 99
City
STOCKTON
Zip
95215
CURRENT_STATUS
01
SITE_LOCATION
4943 S HWY 99
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\N\HWY 99\4943\PR0506488\2003 INSTALL .PDF
Tags
EHD - Public
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' C. Describe meyytl!hIp1to be used tor decontamination: <br /> ___-- <br /> d. Describe how rinsate material will be stored onsite prior to manlf sting offsite: <br /> - `�U� $5 G 4 1'1 0�—�on�G ItnP ✓ ` rJ 'h _--__—_— <br /> e. Rinsate Hauler and permitted Treatment, Storage & Disposal Facility: <br /> Hauler Namej ✓n..,wp-- l Y ,Phone( '7o i ) V-7- &n oqi <br /> Hauler Registration # L Z N 0 <br /> Address_ / Dl :Tel A)5Lr �-J-54 City enlGl — Zip ` t/s:L0 <br /> Permitted Disposal Site C'v_ki�l _ + _�Jer -o Lo c <br /> j — —�— r-------- <br /> 7. a. De ribe the method that will be utilized to purge and/or inert the piping: <br /> b. Piping Hauler: <br /> Name a( — <br /> ; <br /> Address lL S Z/ GyerG rem Ll�c City / 0 4/ fro GV,4 Zip g607S _ <br /> Phone ( ) 3�S <br /> Hauler Registration # (if hauled as hazardous)— /y�!� <br /> C. Piping Disposal Site: <br /> Name L Q..- j �_ Phone ( 2-09 z- V2J 5 <br /> Address 99 99 5 , Aj5ith RA . City 4aa 4(fCa- Zip 9s33--0— <br /> EPA ID# (if transported to a permitted TSD facility) /V�,el <br /> S. Is the sampling firm an independent third party from the contractor? YES ' NO [] <br /> 9. Describe, in detail, how the soil and/or water sample(s) beneath the piping or dispenser will be <br /> obtained: �4a <br /> ��"/���, ' 1 /r a e,SA See. c-, T7-kC4 WD,r�G /C' i-a.r_ Sa, j <br /> 3v <br /> 3 <br />
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