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COMPLIANCE INFO_2016 - 2018
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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PR0231462
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COMPLIANCE INFO_2016 - 2018
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Entry Properties
Last modified
10/18/2019 8:09:02 AM
Creation date
11/7/2018 11:53:31 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2016 - 2018
RECORD_ID
PR0231462
PE
2361
FACILITY_ID
FA0000508
FACILITY_NAME
7-ELEVEN INC #17647
STREET_NUMBER
1048
Direction
W
STREET_NAME
YOSEMITE
STREET_TYPE
AVE
City
MANTECA
Zip
95337
APN
21903003
CURRENT_STATUS
01
SITE_LOCATION
1048 W YOSEMITE AVE
P_LOCATION
04
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\Y\YOSEMITE\1048\PR0231462\COMPLIANCE INFO 2016 - PRESENT.PDF
QuestysFileName
COMPLIANCE INFO 2016 - PRESENT
QuestysRecordDate
8/8/2016 6:25:14 PM
QuestysRecordID
3140675
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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5. Decontamination Procedures: <br />a. Will piping be decontaminated prior to removal? <br />b. Identify contractor performing decontamination: <br />Name <br />Address <br />c. Describe method to be used for decontamination: <br />.J <br />YES[] NO[] <br />Phone (—)- <br />City Zip <br />d. Describe how rinsate material will be stored onsite prior to manifesting offsite: <br />e. Rinsate Hauler and permitted Treatment, Storage & Disposal Facility: <br />Hauler Name Phone () Hauler Reg# <br />Address City Zip <br />Permitted Disposal Site <br />6. a. Describe the method that will be utilized to purge and/or inert the piping: <br />b. Piping Hauler: <br />Name Phone () <br />Address City. Zip _ <br />Hauler Registration # (if hauled as hazardous) <br />c. Piping Disposal Site: <br />Name Phone () <br />Address City Zip _ <br />EPA ID# (if transported to a permitted TSD facility) <br />7. Is the sampling firm an independent third party from the contractor? YES[] NO [ ] <br />a. Identify sampling fine: <br />b. Identify laboratory performing analysis: <br />Name <br />Address <br />City <br />Phone () <br />City Zip <br />8. Describe, in detail, how the soil and/or water sample(s) beneath the piping or dispenser will be obtained: <br />9. 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 />Phone () <br />Zip <br />
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