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REMOVAL_1989
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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PR0501179
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REMOVAL_1989
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Entry Properties
Last modified
8/2/2019 8:05:58 AM
Creation date
11/7/2018 4:31:49 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
REMOVAL
FileName_PostFix
1989
RECORD_ID
PR0501179
PE
2381
FACILITY_ID
FA0009865
FACILITY_NAME
KIA COUNTRY
STREET_NUMBER
1515
Direction
N
STREET_NAME
MAIN
STREET_TYPE
ST
City
MANTECA
Zip
95336
APN
21619005
CURRENT_STATUS
02
SITE_LOCATION
1515 N MAIN ST
P_LOCATION
04
P_DISTRICT
003
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\M\MAIN\1515\PR0501179\REMOVAL 1989 .PDF
QuestysFileName
REMOVAL 1989
QuestysRecordDate
10/26/2017 3:26:56 PM
QuestysRecordID
3700862
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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-3 of <br />r <br />PHS--EHD — UNDERGOND TANK CLOSURE/ABANDONMAlk INSPECTION <br />(SHADEDAREA TO BE FILLLED IN FOR THE FIRST TANK ONLY) <br />�11 <br />i7"If,I <br />iyil��WE 1/m ���rJirEN,t�ii�Y�J <br />7-A V t� 51144 /17101 [J��,ylplryT�v',yi�ir r rs it ii,yY��r�,yl'�u <br />f <br />v`�7" M! la co- i <br />V N7)Z t <br />OWNER N � � � � OWNER PHONE � 2,3q r`� <br />E ' <br />N CONTRACTOR �� � <br />CON. PHONE#t <br />/##� <br />R SJLHD PERMIT # EP FIRE PERMIT <br />L <br />I NSPECTO <br />DATE f �� <br />TANK # 39 <br />R <br />R I NSED Y N) METHOD i L_ <br />RINSE AMOUNT <br />I <br />N <br />s <br />I r_-� <br />^� <br />RINSATE DISPOSAL. SITE <br />f <br />E <br />MANIFEST # —OR— OTHER <br />V <br />VAPORS PURGED (Y)N) <br />METHOD jy ZC S <br />AMOUNT USED <br />A <br />L.E.L. READING AT REMOVAL (MUST BE ( LO%) 60 <br />P <br />O <br />T <br />R <br />COMMENTS <br />A <br />N <br />K <br />C <br />TANK MATERIAL STEE FIBERGLASS, OTHER) <br />TANK SIZE <br />/ <br />O <br />TANK CONDITION (GOOD POOR, HOLES) <br />N <br />P <br />S <br />T <br />PIPE MATERIAL QTEj), FIBERGLASS, OTHER)� <br />FEET <br />I <br />PIPING CONDITION (GOOD, POOR, HOLES) <br />N <br />G <br />DEPTH SOIL TYPE OBSERVATION SAMPLE ## <br />F <br />I <br />T <br />A <br />/�l _ G 1<4W/l� a U 2 so v11 ccs/a / <br />N <br />K <br />E <br />L <br />D <br />S <br />EXCAVATION SIZE: X z?7 X �. YDS OF SOIL: <br />I <br />A <br />DEPTH SOIL TYPE OBSERVATION SAMPLE <br />N <br />M <br />P <br />I <br />e <br />S <br />F' <br />P <br />P <br />L <br />E <br />E <br />I <br />C <br />N <br />TRENCH DIMENSION X X YDS Cif- SOIL <br />T <br />G <br />H <br />DEPTH TO G. W. FT SAMPLING METHOD <br />0 <br />N <br />G <br /># OF HOURS SINCE DEWATERING : Wo�PaC <br />O <br />OTHER SAMPLE: <br />LABORATORY: � } �. (% r' <br />SAMPLERS NAME: s <br />CLOSURE <br />IN PLACE MIXTURE: VOLUME: <br />EH 23043 (10/89) DRAW SITE MAP ON REVERSE <br />
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