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COMPLIANCE INFO 2018
Environmental Health - Public
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EHD Program Facility Records by Street Name
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PATTERSON PASS
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25775
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2300 - Underground Storage Tank Program
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PR0231708
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COMPLIANCE INFO 2018
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Entry Properties
Last modified
5/14/2019 2:26:33 PM
Creation date
2/26/2019 12:19:10 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2018
RECORD_ID
PR0231708
PE
2361
FACILITY_ID
FA0003619
FACILITY_NAME
ARP MINI MART CORP
STREET_NUMBER
25775
Direction
S
STREET_NAME
PATTERSON PASS
STREET_TYPE
RD
City
TRACY
Zip
95376
APN
20910004
CURRENT_STATUS
01
SITE_LOCATION
25775 S PATTERSON PASS RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
KBlackwell
Tags
EHD - Public
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5. Decontamination Procedures: 1 <br /> f <br /> a. Will piping be decontaminated prior to removal? YES" NO <br /> b. Identify contractor performing decontamination: J C,^` pp <br /> Name_, 9,tw—" } i�S r�N1V i��v�tY1��. t�•! 1Y1, Phone 63& <br /> Address 3-33D -2m <br /> —, h irk Sin;tri Gen cityn a ip <br /> f <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 �' . ou j <br /> 3 <br /> e. Rinsate Hauler and permitted Treatment,Storage&Disposal Facility: EPA ID CAD883653627 &MC CA0109650 ! <br /> Hauler NamePhone -DISC 3175'" <br /> y (�tz�"a42:���1"0 Hauler Reg# <br /> Address 9 3 0 �•Yn �t Q p city Zip 2 Q,� .' k <br /> Add �''` <br /> . ,'tted'Disposal Site: ,Crosti_on Overtbn'1610 W 17th St., Long Beach;GA 90.813.P-562-432-%—_.5 { <br /> 6. a. Describe the method that will be utilized to purge and/or Inert the piping: <br /> We shutdown the system and we will drain the piping back into tank. j <br /> 6? Piping Hauler: <br /> Name Phone(�_) <br /> Address City Zip <br /> Hauler Registration#(if hauled as hazardous)___ <br /> c. Piping Disposal Site: <br /> Name Phone ) <br /> Address City Zip A <br /> EPA ID#(if transported to a permitted TSD facility) <br /> 7. Is the sampling firm an independent third party from the contractor? YES NO[ <br /> a. Identify sampling firm: l_ r <br /> Name � A4y`~ ViYyr ro _y M. Lh c. _ Phone( <br /> Address 3 33 e C�newy\ Perk 9Yi ve h 533 city 6 wyom Peip <br /> i <br /> b. Identify laboratory verformin❑analysis: <br /> Name 4 S E(� V 1 ��� Phone � <br /> Address G�woNa v e.. city <br /> B. Describe, in detail,how the soil and/or water sample(s)beneath the piping or dispenser will be obtained: <br /> -C-A-a" in Chiy 1e�s <br /> yv��.a�y',• k- �1^4�� ir�avwv.ea' �,; S) �kywe' :v-:'kms 5Z 4 CaiLee+ j <br /> 9. a. Handling of excavated soil(Contaminated Soil Hazardous Waste Hatder): ; <br /> Name Integrated WasteStream Mgmt. Hauler Registration# DTS 3175 Phone(408)813-9428 j <br /> Address 930 Ames Ave. City Milpitas Zip 95035 <br /> b. 11 s**mt to baha lk describe what`wiil be done with t. ± <br /> If soil Is not contaminated from lab results, it will be send to nearest dump. [ <br /> EH230038(revlsed 7-26-2016) 4 RECEIVED <br /> m hY U 7 2013 <br /> TAL <br /> ENV4 RJtpARN�i!ENT <br /> HEA13'ri Dt=� AI <br />
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