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COMPLIANCE INFO 2013 - 2018
Environmental Health - Public
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EHD Program Facility Records by Street Name
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KETTLEMAN
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2448
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2300 - Underground Storage Tank Program
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PR0231948
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COMPLIANCE INFO 2013 - 2018
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Last modified
1/19/2022 1:14:28 PM
Creation date
4/29/2019 2:10:42 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2013 - 2018
RECORD_ID
PR0231948
PE
2361
FACILITY_ID
FA0003855
FACILITY_NAME
TESORO (SHELL) 68153
STREET_NUMBER
2448
Direction
W
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95240
APN
05814001
CURRENT_STATUS
01
SITE_LOCATION
2448 W KETTLEMAN LN
P_LOCATION
02
P_DISTRICT
004
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? <br />b. Identify contractor performing decontamination: <br />Name <br />Address <br />c. Describe method to be used for decontamination: <br />YES[] <br />NO [ ] MAY 31 2016 <br />Phone ( ) <br />City Zip <br />d. Describe how rinsate material will be stored onsite prior to manifesting offsite: <br />e. Rinsate Hauler and permitted Treatment, Storage & Disposal Facility: <br />Hauler Name Phone ( ) Hauler Reg# _ <br />Address City Zip <br />Permitted Disposal Site <br />6. a. Describe the method that will be utilized to purge and/or inert the piping: <br />b. Piping Hauler: <br />Name Phone ( ) <br />Address City Zip <br />Hauler Registration # (if hauled as hazardous) <br />c. Piping Disposal Site <br />Name <br />Address <br />EPA ID# (if transported to a permitted TSD facility) <br />7. Is the sampling firm an independent third party from the contractor? <br />a. Identify sampling firm: <br />Name <br />Address <br />b. Identify laboratory performing analysis: <br />Name <br />Phone ( <br />City Zip <br />YES[] NO <br />Phone( ) <br />City Zip <br />Phone ( ) <br />Address City Zip <br />8. Describe, in detail, how the soil 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 # <br />Address City <br />b. If soil is not to be hauled, describe what will be done with it: <br />4 <br />Phone ( <br />Zip <br />
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