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i <br /> GENERAL INFORMATION: <br /> i <br /> 1. 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 (UST) removals. <br /> 2- Disposal Information: Public Health Services Tracking Sheet shalt, 's representative will note. <br /> P accompany each tank removed <br /> hich <br /> from site. Tank(s)will be issued an Identification num PHS-EHD <br /> her w <br /> on the Tank Tracking Sheet. Contractor will affix same identification number onto tank end using <br /> fluorescent spray paint. Contaminated tanks and/or piping are to be transported under Hazardous <br /> Waste Manifest by a state registered hazardous waste hauler. <br /> i <br /> 3. Contractor to Provide: Combustible/Flammable gas detector (to 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 extinguisher(s),barriers to secure the area as necessary to minimize traffic <br /> and pedestrian interference,and fluorescent spray paint to affix tanl<`identificatian numbers. It shalt <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 The PHS-EHD permit shall be on site during tank excavation and removal. <br /> 5. Any changes in this document shall be approved by PHS-EHD prior to initiating work. <br /> i <br /> 6. Closure-in-Place: if Closure-in-Place is the suggested method of abandonment, complete form <br /> EH 23 039 and submit written approval from the local Fire Department. <br /> 7. Temporary Closure: If Temporary Closure is the suggested imethod of abandonment, compiete <br /> form EH 23 046 and submit written approval from the local'Fire Department. <br /> a 'y <br /> 8. The following documentation shall be submitted within 30 days of the tank removal <br /> date: <br /> a) Analytical results,mailed directly from laboratory to PHS-EHD,Including a chain of custody. <br /> :r <br /> I# <br /> b) Tank Tracking Record Sheet(s) and/or Tank Hazardous Waste Manifest(s). <br /> C) Hazardous 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 /> 1 incorporated City Building Departments. This report will be referred to the appropriate <br /> agency for their review. { <br /> A site which has had UST(s) remove4 shall not be considered for final closure until the above items <br /> are aubmItted for review. s <br /> � 1 <br /> 1 <br /> Ii <br /> Page 2 <br /> EH 23 040 (Revised 7-10-92) ,i, <br />