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REMOVAL_2004
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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PR0231963
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REMOVAL_2004
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Entry Properties
Last modified
12/23/2019 2:51:46 PM
Creation date
11/7/2018 10:09:28 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
REMOVAL
FileName_PostFix
2004
RECORD_ID
PR0231963
PE
2361
FACILITY_ID
FA0006445
FACILITY_NAME
PG&E: Stockton Service Center
STREET_NUMBER
4040
STREET_NAME
WEST
STREET_TYPE
Ln
City
Stockton
Zip
95204
APN
117-020-01
CURRENT_STATUS
01
SITE_LOCATION
4040 West Ln
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
KBlackwell
Supplemental fields
FilePath
\MIGRATIONS\W\WEST\4040\PR0231963\2004 REMOVAL .PDF
QuestysFileName
2004 REMOVAL
QuestysRecordDate
7/26/2018 11:28:37 PM
QuestysRecordID
3948763
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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8. a. Describe the method that will be utilized to purge and/or inert the tank(s): <br /> _MR-1 Y CE RLW--F—'D 1tXM 'T0 "\C - N),,1tAkMUM '7� 9t3utADS - <br /> c 02-Sk \G A---1E-L--Z07 I11tIETE2 <br /> b. Tank/Piping Hauler: <br /> Name -J'604V "I MED�A'C1O►.1 , C- <br /> Address 124 'l S LLAGTAS AVENUE City 95a4c. <br /> Phone No.( n _) en9 Z.—t""I <br /> Hauler Registration# (if hauled as hazardous) 'Dc-r <br /> c. Tank/Piping Disposal Site: <br /> Name ECjQ Leo esY CnllX e L. <br /> Address ,_..Z,S.r?_,_ A2R �u�EV ARD City, �c�lMo�.ifl Zip 9 8C 1 <br /> Phone No.{ S1Q ) 2-45 - lSc ' <br /> EPA 1D#(if transported to a permitted TSD facility) C-.� n n 9 4-10-Cos C1 2 <br /> 9. is the sampling firm an independent third party from the contractor? YES NO[j <br /> 9a. Describe,in detail,how the soil and/or water sample(s)beneath the tank and piping will be obtained: <br /> PER GOUNT`I PeOTOCALL . SE=3Nf>W N-reQ- t4tm EXPEE�TEL7 Rw, QST <br /> so11, SAMPLES F-1?&PA 1 kit cV-t.►TEI— i- t•AT'Rkc-kk IF-Xcil . <br /> 10. Describe how the excavation will be backfilled with suitable material upon removal: <br /> PEA-64ZQ 04 r-A , IF cL F-j S11 , W ILL -RE_ 12 MeNS-7 TD a[AS LAM Q11. Cc,(ag— <br /> F-1�SF��A'�23C A.uD emMPA�ED A6Ttr 'CtASE. 'PA�EWCTI�t A�_G- <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? 1 F CL-E AN VM�7QQN Td Ho X-E <br /> 1 F �1'rAN1�r-t A�-cEU t SE�b TD rn2wA�D � N�`1�TECA o� -[ti c�-�,n_�n/p.ScF Me�T <br /> c)Contaminated Soil Hazardous Waste Hauler: <br /> Namel�1I w P7-ra'M5Po ZXN-7 OQ kRpAED. _ 4 ►.kC._Hauler Registration# zt G.?-'R 1 <br /> Address tiZ4-15 LL.AC-r6S AV F. City Zip y 504[. <br /> Phone No.( ) Ca A`3—O44r1 - -- <br /> 1rH 23 046 (Revised l0/16/03) Page 5 <br />
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