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COMPLIANCE INFO_2011 - 2018
Environmental Health - Public
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EHD Program Facility Records by Street Name
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HAM
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1331
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2300 - Underground Storage Tank Program
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PR0231332
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COMPLIANCE INFO_2011 - 2018
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Last modified
6/13/2019 3:42:16 PM
Creation date
12/6/2018 9:19:42 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2011 - 2018
RECORD_ID
PR0231332
PE
2361
FACILITY_ID
FA0003961
FACILITY_NAME
LODI MUNI SERVICE CENTER
STREET_NUMBER
1331
Direction
S
STREET_NAME
HAM
STREET_TYPE
LN
City
LODI
Zip
95240
APN
03104050
CURRENT_STATUS
01
SITE_LOCATION
1331 S HAM LN
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
KBlackwell
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EHD - Public
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R-o"' E E V D <br /> 5. Decontamination Procedures: <br /> a. Will piping be decontaminated prior to removal? YES [] NO NOV 21 2017 <br /> b. Identify contractor performing decontamination: <br /> Name Phone <br /> AJt i <br /> Address City r <br /> c. Describe method to be used for decontamination: <br /> d. Describe how rinsate material will be stored onsite prior to manifesting offsite: <br /> e. Rinsate Hauler and permitted Treatment, Storage & Disposal yFacility:Hauler Name Phone ( ) uler Reg# <br /> Address Zip <br /> Permitted Disposal Site <br /> 6. a. Describe the method that will be utilized to purge and/or inert the Oiping: <br /> b. Piping Hauler: <br /> Name Phone ( ) <br /> Address \ City Zip <br /> Hauler Registration#(if hauled as hazardou <br /> c. Piping Disposal Site: <br /> Name Phone ( ) <br /> Address City Zip <br /> EPA ID#(if transported to a permitted /fm <br /> ) <br /> 7. Is the sampling firm an independent third phe contractor? YES[] NO[] <br /> a. Identify sampling firm: <br /> Name Phone( ) <br /> Address City Zip <br /> b. Identify laboratory performingysis: <br /> 711 <br /> Name Phone ( ) <br /> Address City Zip <br /> 8. Describe, in detail, how the oil and/or water sample(s) beneath the piping or dispenser will be obtained: <br /> 9. a. Handling of excavated soil (Contaminated Soil Hazardous Waste Hauler): <br /> Name Hauler Registration# Phone ( ) <br /> Address City Zip <br /> b. If soil is not to be hauled, describe what will be done with it: <br /> 4 <br />
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