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IY <br /> ' I <br /> I <br /> GENERAL INFORMATION: <br /> I. Obtain an EPA Site Number from the Department of Health Services (916) 324-1781 for temporary <br /> hazardous waste removal activities associated with underground`storage tank (USI) removals. <br /> 1 <br /> 2. Disposal Information: Public Health Services Tracking Sheet shall accompany each tank removed <br /> front site. Tank(s)will he issued an identification number which PHS-E1-113's representative will note <br /> on the Tank Tracking Sheet. Contractor will affix same identldcatlon'pnumber onto tank end using <br /> fluorescent spray paint. Contaminated tanks and/or piping are ipto be transported under Hazardous <br /> Waste Manifest by a state registered hartrdous waste hauler. <br /> d <br /> 3. Contractor to Provide: Combustible/namntable gas detector ((o verify the Lower Explosive Limit <br /> (LEL) atmosphere and oxygen level of tank prior to lifting from excavation), adequate number(s)and <br /> appropriate type(s)of fire exiinguislter(s),barriers to secure(lie area as necessary to minimize traffic <br /> and pedestrian interference, and fluorescent spray paint to affix lank identification numbers_ It shall <br /> be the project manager's responsibility for compliance with all health & safety regulations and <br /> requirements,which shall be strictly adhered to at all times during the course of the closure activities- <br /> 4 1"lic Pl IS-F-1 ID permit sltali be on site during tank excavation and removal. <br /> 5. Any changes in this docutrtent shall be approved by PHS-E111) prior 10 inillaling work. <br /> i� <br /> 6. Clostrre-in-I'Ince. If Closure-in-Place Is the suggested method of abandonment, complete form <br /> Ell 23 039 and submit written approval front the local Fire Department. <br /> 7. 't'entpnrnry Closure: if'i'ernporaty Closure Is the suggested me''thod of abandonment, complete <br /> form Ell. 23 046 and submit written approval from the local Fire Department. <br /> p <br /> 8. 'I'he following (locurnentntion shall be strbrnitted within 30.lays of the tank retnoval <br /> ji <br /> a) Analyt(cal results,mailed directly from laboratory to f HIS-EHD,including a chain of custody. <br /> b) Tank Tracking Record Sheet(s) and/or Tank Hazardous Waste Manifest(s). <br /> P <br /> C) I-lamrdous Waste Manifests for piping, rinsate, residual fuel, or waste oil receipt. <br /> d) Submit the backfill excavation certificate as required by San Joaquin County 'and the <br /> incorporated City Building Departments. ':itis reporf.will b'e referred to the appropriate., <br /> agency for their review. p <br /> A site which ltns had UST(S) removed,shnll rtut be considered for final closure until the above Items <br /> etre stibmilted for review. <br /> " <br /> EI 123 040 (Revised 7-10-92) Page 2 <br /> �� i0 <br />