COMPLIANCE INFO 1999-2003 (2) - Laserfiche WebLink

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GENERAL INFORMATION: 1. Obtain an EPA Site Number from the b fstances Ctontrol (800) ank (UST) removals.OIfor temporary hazardous waste removal activities associated with undergroundstorage 2. Disposal Information: Public Health Services Underground Storage Tank Disposition Tracking Record (UST Tracking Record, page 10) shall accompany each tank removed from site. Tank(s) will be issued an identification number which PHS-EHD's representative will note on the UST Tracking Record. Contractor will affix same identification number onto tank end using fluorescent spray paint. Contaminated tanks and/or piping are to be transported under Hazardous Waste Manifest by a state registered hazardous waste hauler. 3. Contractor to Provide: Combustible/Flammable gas detector (to verify the Lower Explosive Limit (LEL) atmosphere and oxygen level of tank prior to lifting from excavation), adequate number(s) and appropriate type(s) of fire extinguisher(s), barriers to secure`'.he area as necessary to minimize traffic and pedestrian interference, and fluorescent spray paint to affix tank identification numbers. It shall be the project manager's responsibility for ulations and requirements, which shall be strictly adhered to at all times compliance with all health &safety re, during the course of the closure activi- ies. 4 The PHS-EHD permit shall be on site.-Juring tank excavation and removal. 5. Any changes in this document shall be approved by PHS-EHD prior to initiating work. 6. Closure -in -Place: If Closure -in -Place is the suggested method of abandonment, complete form EH 23 039 and submit written approval from the local Fire Department. Temporary Closure: If Temporary Closure is the suggested method of abandonment, complete and submit this form and a written approval from the local Fire Department. The following documentation shall be submitted within 30 days of the tank removal date. a) Analytical results, mailed di.ectly from laboratory to PHS-EHD, including a chain of custody and quality assurance and quality control (QA & QC). b) UST Tracking Record Shcet(s) and/or Tank Hazardous Waste Manifest(s). C) Tank Closure Certification Farm (DTSC form 1249). d) Hazardous Waste Manifests for piping, rinsate, residual fuel, or waste oil receipt. e) Submit the backfill excavatior certificate as required by San Joaquin County and the incorporated City Building Departments. This report will be referred to the appropriate agency for their review. A site which has had UST(s) removed, shall not be considered for final closure until the above items are submitted for review. III. SITE MITIGATION: 1, In the event contamination is observed, confirmed or suspected as a result of a leaking UST system it i the responsi t of the owner or operator to submit a work lan to PHS-EHD Site M1 ti ation Unit and have it a r rior o ini�tia.�tin, �an,y assessment or re Ttediation activities. To minimize delays, the work plan may be submitted concurrent with tank closure or instalk tion plans. Add–re—ss ss one copy of the work plan to the Site Mitigation Unit for review. If the site is not currently in the Local Oversight Program, a billing form and a $261 minimum fee must be submitted with the work plan. For further assistance contact the Site Mitigation Unit at (209) 468-3450. Pa EH 23 046 (Revised 09/21100) ge 2