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COMPLIANCE INFO_2019
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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PR0518458
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COMPLIANCE INFO_2019
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Entry Properties
Last modified
9/3/2020 10:28:22 AM
Creation date
1/18/2019 11:55:45 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2019
RECORD_ID
PR0518458
PE
2361
FACILITY_ID
FA0013918
FACILITY_NAME
CHEVRON STATION #210997*
STREET_NUMBER
1442
STREET_NAME
COLONY
STREET_TYPE
Dr
City
RIPON
Zip
95366
APN
26102028
CURRENT_STATUS
01
SITE_LOCATION
1442 Colony Dr
P_LOCATION
05
P_DISTRICT
005
QC Status
Approved
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KBlackwell
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EHD - Public
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5 . Decontamination Procedures : <br /> a . Will piping be decontaminated prior to removal ? YES [ ] NO [ ] <br /> b . Identify contractor performing decontamination : <br /> Name NOT APPLICABLE Phone (....) <br /> Address City Zip <br /> c . Describe method to be used for decontamination : <br /> NOT APPLICABLE <br /> d . Describe how rinsate material will be stored onsite prior to manifesting offsite : <br /> NOT APPLICABLE <br /> e . Rinsate Hauler and permitted Treatment , Storage & Disposal Facility : <br /> Hauler Name NOT APPLICABLE Phone ( ) Hauler Reg# <br /> Address City Zip <br /> Permitted Disposal Site NOT APPLICABLE <br /> 6 . a . Describe the method that will be utilized to purge and/or inert the piping : <br /> NOT APPLICABLE <br /> b . Piping Hauler: <br /> Name NOT APPLICABLE Phone (� <br /> Address City Zip <br /> Hauler Registration # ( if hauled as hazardous ) <br /> c . Piping Disposal Site : <br /> Name NOT APPLICABLE Phone (_) <br /> Address City Zip <br /> EPA ID# ( if transported to a permitted TSD facility) NOT APPLICABLE <br /> 7 . Is the sampling firm an independent third party from the contractor? YES NO [ ] <br /> a . Identify sampling firm : <br /> Name GHD Phone ( 510 ) 420 . 3347 <br /> Address 5900 HOLLIS STREET , SUITE Z City EMERYVILLE Zip 94608 <br /> b . Identify laboratory performing analysis : <br /> Name MCCAMBELL ANALYTICAL LABORATORY Phone8( 77 ) 252 . 9262 <br /> Address 1534 WILLOW PASS ROAD City PITTSBURGH Zip 94565 <br /> 8 . Describe , in detail , how the soil and/or water sample (s) beneath the piping or dispenser will be obtained : <br /> A BRASS SLEEVE WILL BE DRIVEN INTO THE EXCAVATED SOIL 1 ' BENEATH THE PIPING AND UDC , SLEEVES <br /> ARE SEALED AND PUT ON ICE WITH A CHAIN OF CUSTODY DOCUMENT AND DELIVERED TO THE LAB FOR ANALYSIS <br /> 9 . a . Handling of excavated soil ( Contaminated Soil Hazardous Waste Hauler) : <br /> Name NOT APPLICABLE Hauler Registration # Phone (� <br /> Address City Zip <br /> b . If soil is not to be hauled , describe what will be done with it : <br /> Soils will be tested for compatibility for re- use as fill material . <br /> 4 <br />
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