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REMOVAL 1998 REMOVAL
Environmental Health - Public
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2300 - Underground Storage Tank Program
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PR0231380
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REMOVAL 1998 REMOVAL
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Entry Properties
Last modified
7/6/2020 4:41:38 PM
Creation date
11/8/2018 9:56:03 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
REMOVAL
FileName_PostFix
1998 REMOVAL
RECORD_ID
PR0231380
PE
2361
FACILITY_ID
FA0000645
FACILITY_NAME
SHORT STOP FOOD MART
STREET_NUMBER
20
Direction
W
STREET_NAME
TURNER
STREET_TYPE
RD
City
LODI
Zip
95240
APN
04134015
CURRENT_STATUS
01
SITE_LOCATION
20 W TURNER RD # A
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Supplemental fields
FilePath
\MIGRATIONS3\T\TURNER\20\PR0231380\1998 REMOVAL .PDF
QuestysFileName
1998 REMOVAL
QuestysRecordDate
10/24/2016 3:59:51 PM
QuestysRecordID
3239186
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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II. GENERAL. WFORMATION: <br /> _. Obtain an EPA Site Numbe: -Tom the Dcoa-- enc of Toxic Substances Conaoi (soo) 61-TOXIC for <br /> [emporzv u—dOttS waste removal an <br /> uvIrIes assOciaCe with nnder3round s[Orae- tan's (UST) removals. <br /> 2. Disposal Information: Public Health Services Underground Scorage Tank Dimosirion Traciinz Record <br /> (UST Tracking Record, page 10) shall accornuany each tank removed from sire. Tank(s) will be issued <br /> as :dentizicacion number which PHS-EHD's representative will note on the UST Tracking Record <br /> Contractor will affix same idenriticationnumbe,-onto raalz end using fluorescz m spray paint. Contaminated <br /> �a and/or piping are to be =ansTor,ed under Hazardous Waste Maa:fest by a sate rester d na ardour <br /> wase haute:. <br /> Con[,-actor to Provide: Combus:ibit rlammabie ss detector (to vetiifv the Lowe: Explosive Limit(LEL) <br /> armosphere and oxygen ieve: of-oar or,'or to lifting-.=excavarion), adecuate numbers) and apnroorate <br /> [ypC.,$) Of fire exon;.x+sae:(s), ba.=:e:s tostere [.7e area as necessary c0 minimie plc and ,edesu.dn <br /> 31erferace, and flucresceat mray pain[ to iff!T caa!< idenLIIcarion numbers. IL shall be the prOJC' <br /> ^anger s resporsionin,ror compuance with all neath & satet rQuiad <br /> 0IIs daC ieculremea S. Wn20n sna i <br /> be grit y adhered to at all tithes dur_ng the course or tae ctOsur ac v[Ies. <br /> The ?HS E_D oe= snail be on site during took excavation and removal. <br /> Any clangern his dot meat shatl be approved :,y pgc_EHD prior to thir are work- <br /> ,.- Closure-in-Place: U Closure-a-?lace is the suggested me• od of abandonment. comniae forts <br /> 2. 0-9 and submit wraen approval torn tbe local e. - Depart—_c. <br /> Temporary Closure: Temger-aosur.- 's -the ,-ugsested method of abandonmeaL compie-e <br /> and submit this form and a wt==apotnvai ;tom the local _se Department. <br /> S. The following documentation shall be submitted within 30 days of the tank removal <br /> date: <br /> _) Anaivdcai resu:*.s. razed di-e-1v Zorn Ihoratory co PHS-EH), ac.uding a cdain or zustody and <br /> Guadry assurance and cumin+Control (QA & QC)_ <br /> b) UST T:_cid= Record S'ne-_r s) andior T=k H—rdous Waste Manifesus). <br /> c) Hazardous Waste Mani:esrs for piping, rinsare. rsiduai 'se:. or•ase oil receipt. <br /> d) Submit the bacicffll excavation certm-cate as m_u&ed by San Joacuin County and the rncoroorated <br /> C:ry Building Deparsreats. This --moor, will be rife^ed to the appropriate agency for me- <br /> review. <br /> herreview. <br /> A site which has had UST(s) r--moved, shall nor be conside-red for final closure until the above items <br /> are submitted for review. <br /> III. SLI= MITIGATION: <br /> 1. a [he e+ent con-minarion s observed, confirmcd or s=eed as a result of a leaking UST sys[em it is <br /> the resgousfoiiiry of the owner or operator CO submit a workpian to PHS-E HD Site 'V iEigarioa unit prior <br /> to initiating any assessment or temediarion activities. To •ninimi7.delays, a Corrective Action ?!an may <br /> be submitted conctrrent with tank ciosum or insadadonpians. address one copy of the Corm-mve Action <br /> Plan to die Sire Mirigation Unit for review. For furrier ssis-ante contact the Site Mirigarion Unit at(209) <br /> 168-3a:50. <br /> EH 23 046 (Revisedlori4/9 r) Page 2 <br />
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