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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
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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: 7 <br /> Names • k .s Phone <br /> Address 353x7 7`h % tSijt <br /> s <br /> c. Describe method to be used for decontamination; <br /> i <br /> d. Describe how rinsate material will be stored onsite prior to manifesting offsite: <br /> 57 1-ran4 -cil'11 <br /> ylej <br /> T � <br /> e. Rinsate Hauler and permitted Treatment,Storage&Disposal f=acility: EPA iD CAD983653627 & MC CA0109650 <br /> Hauler Name_ * phone d Dl SC 3175 <br /> Address l�� �, �_ ��1� ' <br /> "P 3 D Arn A"ce City zip <br /> Prittrf Ditiasai Site.. Crosby an Qverton 1610 VI('17th,St:, hong Beach; A 90813 P:562-432 5445 <br /> 6. a. Describe the method that will be utilized to purge and/or Inert the piping; <br /> t <br /> I <br /> Piping Hauler: <br /> Name Phone <br /> t <br /> Address City_ Zip <br /> Hauler Registration#(if hauled as hazardous) <br /> Ay <br /> " ED <br /> c. Piping Disposal Site: <br /> Name -�Phone( a N R 2 7 2018 <br /> Address City Zip <br /> EPA lD#(if transported to a permitted TSD facility)____. ENVIRONMENTAL <br /> MENTAL n <br /> HEALTH DEPARTMENT <br /> 7. Is the sampling firm an Independent third party from the contractor? YES NO(J <br /> a. Identify sampling firm: <br /> Sn� <br /> Name Cly r Ln Phonet5 <br /> i <br /> Address .3 3.3 &ryrx Park- 'rive h-SED city 6 rev► Pq ip—gr i <br /> b. Identify laboratory uerformino analvsis: <br /> Name J1�fL S t C�' i -1—Tek, -- Phone <br /> Address_ w0,Nckr'l V e-- City <br /> i <br /> 8. Describe, in detail, how the soil and/or water sample(s) beneath the piping or dispenser will be obtained: <br /> 113LN1W�l r shC-_�`�l�.Q �L�CaVV+N���C�� S��rtut 631�� 1��. srilC\V ��y�'cp ';d 4D <br /> s'o it �.r.+�Qle- <br /> 9, a. Handling o excavated soil(Contaminated Soil Hazardous Waste Haider): <br /> Name Integrated WasteStream Mgmt. Hauler Registration# DTSC 3175 phone4f 08)813-9428 <br /> Address 930 Ames Ave. City Milpitas ^V Zip 95035 <br /> b. If soil is ndt.. °his hailW describe what will be;darte with�t. <br /> If soil isnot contaminated from lab results, it will be send to nearest dump. <br /> i <br /> C <br /> EH230038(revi.."d 7-26-2016) 4 l <br /> i <br />
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