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GENERAL INFORMATION: <br /> 1. Obtain an EPA Site Number from the Department of Health Services (916) 324-1781 for temporary <br /> hazardous waste removal activities associated with underground storage tank (UST) removals. <br /> 2. Disposal Information: Public Health Services Tracking Sheet shall accompany each tank removed <br /> from site. Tank(s)will be issued an identification number which PHS-EHD's representative will note <br /> on the Tank Tracking Sheet. Contractor will affix same identification number onto tank end using <br /> fluorescent spray paint. Contaminated tanks and/or piping are to be transported under Hazardous <br /> Waste Manifest by a state registered hazardous waste hauler. <br /> 3. Contractor to Provide: Combustible/Flammable gas detector (to verify the Lower Explosive Limit <br /> (LEL)atmosphere and oxygen level of tank prior to lifting from excavation),adequate number(s)and <br /> appropriate type(s)of fire extinguisher(s),barriers to secure the area as necessary to minimize traffic <br /> and pedestrian interference,and fluorescent spray paint to affix tank identification numbers. It shall <br /> be the project manager's responsibility for compliance with all health & safety regulations and <br /> requirements,which shall be strictly adhered to at all times during the course of the closure activities. <br /> 4 The PHS-EHD permit shall be on site during tank excavation and removal. <br /> 5. Any changes in this document shall be approved by PHS-EHD prior to initiating work. <br /> 6. Closure-in-Place: If Closure-in-Place is the suggested method of abandonment, complete form <br /> EH 23 039 and submit written approval from the local Fire Department. <br /> 7. Temporary Closure: If Temporary C' 'lire is the suggested method of abandonment, complete <br /> form EH 23 046 and submit writte, al from the local Fire Department. <br /> 8. The following documental' pitted within 30 days of the tank removal <br /> date: <br /> a) Analytical resin `1S-EHD,including a chain of custody. <br /> rp 9QQ� <br /> b) Tank Trac' a�P 1, to Manifest(s). <br /> C) Hazardous Wa. �9OQ,,,°.rr,, ?�//dP'�Ot, ogo to oil receipt. <br /> O rP Vr/ <br /> d) Submit the backfill P •o /00 ud)) ?,? SP Pq County and the <br /> incorporated City Buildn.- die. aP <br /> 6 s o the appropriate <br /> agency for their review. <br /> A site which has had UST(s) removed,shalt ate. ./'/0, <br /> � are until the above items <br /> s�o �9�9�3 <br /> are submitted for review. �3j,ze <br /> �6 <br /> EH 23 040 (Revised 7-10-92) Page 2 <br />