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COMPLIANCE INFO
Environmental Health - Public
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EHD Program Facility Records by Street Name
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6425
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2300 - Underground Storage Tank Program
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PR0231211
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COMPLIANCE INFO
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Entry Properties
Last modified
12/4/2023 2:53:50 PM
Creation date
3/20/2019 11:50:38 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0231211
PE
2371
FACILITY_ID
FA0002409
FACILITY_NAME
SAFEWAY FUEL CENTER #2707
STREET_NUMBER
6425
Direction
N
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
CURRENT_STATUS
01
SITE_LOCATION
6425 N PACIFIC AVE
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
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KBlackwell
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EHD - Public
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SAN , J O A Q U I N Environmental Health Department <br /> -- C 0 U N T Y ------ <br /> c. Describe method to be used for decontamination : <br /> ►.1o�G , ot,o M �tti��� ,PcL w \�..� C'» ��t����4� � � �..Yo Ht�2- �1 �.5« t��rlyZoP �t2-�x�,,S <br /> d . Describe how rinsate material will be stored onsite prior to manifesting offsite : <br /> mo <br /> e . Rinsate Hauler and permitted Treatment , Storage & Disposal Facility: to 11� � tJcs <br /> Hauler Name Phone ( ) Hauler Reg# <br /> Address City Zip <br /> Permitted Disposal Site <br /> N\� (t. c ) I�'� \15 -to Q R�� t� DJ 2� �. C��� 5 LSP <br /> !1 -- <br /> 6 . a . Describe the method that will be utilized to purge and /or inert the piping : E' ili <br /> b . Piping Hauler: <br /> Name 'aa k �AN MkR1_. \� 1 �. Phone (Tj q ) GJu � ' 2 �00 <br /> Address M0 kJ ll �l 6)Z (t- �L M q City , f( � Zip \6\ 16 <br /> Hauler Registration # ( if hauled as hazardous ) <br /> c. Piping Disposal Site : <br /> Name CoL,O `� �kJ\L Phone ( 115 ) <br /> Address I\ kb\A-tr (N11 CityZip S Q O L_ <br /> EPA ID# ( if transported to a permitted TSD facility) 3�) L 0 000 <br /> 7 . Is the sampling firm an independent third party from the contractor? YES 14 NO [ ] <br /> a . Identify sampling firm : <br /> Name CL (LN cy\ Phone(c)% <br /> Address 1910A CityrAAWO C %)\JWip 5 �1 <br /> b . Identify laboratory performing analysis : <br /> Name ( eu ) Phone <br /> j <br /> Address32t�ci `r \-C2l_-iMRI( Q Q�'P City(\(� �\c�1oLXt_5CAMip <br /> 8 . Describe , in detail , how the soil and/or water sample (s ) beneath the piping or dispenser will be obtained :51•l�P W: O ''> �\ P�►`s Pay ���n- Z� t V� ` ' '� <br /> 4 to tav>c( \J � S�1L _ <br /> 9 . a . Handling of excavated soil ( Contaminated Soil Hazardous Waste Hauler) : j, S 2, <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 /> 1 �ottS N*y)go1a 1 I �212M3\1NL Y)elt�A i Qop�ls key T \ � <br /> VJ og SLoV`5 \S PSS \ 5 \�v � >vti� \Q� MkJ\U 0\0 T Hov <br /> ll0 \X`Gva <br /> 4of6 <br /> i <br /> i <br /> E <br /> i <br />
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