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REMOVAL 2014 REMOVAL
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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PR0231818
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REMOVAL 2014 REMOVAL
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Last modified
7/6/2020 4:41:40 PM
Creation date
11/7/2018 8:39:18 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
REMOVAL
FileName_PostFix
2014 REMOVAL
RECORD_ID
PR0231818
PE
2361
FACILITY_ID
FA0022456
FACILITY_NAME
Foodliner, Inc.
STREET_NUMBER
2467
Direction
E
STREET_NAME
MARIPOSA
STREET_TYPE
Rd
City
Stockton
Zip
95205
APN
17130003
CURRENT_STATUS
02
SITE_LOCATION
2467 E Mariposa Rd
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\IAError\M\MARIPOSA\2467\PR0231818\2014 REMOVAL .PDF
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EHD - Public
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BJJ Company LLC 2431 E. Mariposa Rd., Stockton SR0069060 <br /> 6. A copy of the submitted "Health and Safety Plan" must be on the jobsite for review. <br /> 7. See 'Sampling Protocol for Routine Tank. Removals' and `Verification Analysis' on page <br /> 6 and 7 of the permit application for required analytical tests and number of samples to <br /> be taken and witnessed by EHD. <br /> 8. A copy of the Fire Department permit must be submitted at the time of removal. <br /> 9. In addition, the following information must be submitted within 30 days after the UST <br /> removal date: <br /> a. Analytical results: only results that come directly from a third party California certified <br /> laboratory with affixed chain of custody will be accepted by EHD <br /> b. UST Tracking Record Sheet and/or Tank Hazardous Waste Manifest <br /> c. Tank Closure Certification Form (DTSC Form 1249) <br /> d. Hazardous Waste Manifest for rinsate and residual product <br /> e. Backfill Excavation Certificate <br /> 10. Permit expires 180 days from the date of approval. If an extension to the expiration date <br /> is required, a written request must be submitted to this office prior to the expiration date. <br /> If you have any further questions, please contact me at (209) 468-3440. <br /> Thank you, <br /> Stac�Riv �, E HS <br /> Senior Registered Environmental Health Specialist <br /> 2 <br />
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