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C. Tank,'Piping Diso-ral Sate: <br />Name West Coast Equipment <br />Address P. O. Box 2368 City Turlock. CA Zo 95381 <br />Phone No-(- 800 ) 441-85.4 <br />EPA I Dft (if transported to a permitted TSD facility) NIA <br />5. Is Cri_ sampling firm an :nd=p ndent third party from the contractor (REOUIREDI? YES NO [ ] <br />4a. Describe, in detail, how the so] and -or mater samp:el.$) Sneath the tank and P:r ng w -,l be Obtained: <br />Soil sample will be collected with the backhoe and soil sampler from soil bucket <br />t0_ Describe how the excavaVc-n W1.1 be backfilled with suitable meteral upon remova9: <br />Self -compacting, clean FII materialwill be imported to replace the 'volume' of the UST. Soil excavated <br />durinct rerroval will be placed back into the excavation <br />11. Handling of excavated so3: <br />at Yin.at materia± w7l be used to I ne tee tank pt and cover the stxkp`.e? <br />ml plastic sheeting visnueen <br />b) bYnat will be the Fria: destinaLon of Lha excavated stccko -? <br />Backfill the excavation if soil samples appear "clean' or 'non -detect However. soil may be stockpiled <br />on-site if obvious contamination is noted (for later haul -off and disposal). <br />c) Contaminated Soil Hazardous Waste Hauler. <br />Name L 8 B Environmental Hauler Registration tY 3946 <br />Address 4460 South Highway 99 City Stockton, CA Zo 95215 <br />Phone Number t I <br />12_ What is the depth to groundwater? 10 to 15 feet: data from nearby wells and investigations. <br />Describe the source of inforrnaEOn: <br />13. Are there any water wells on this parts' or ad acent propert_s? YES ( ] NON <br />TYPE OF WELLS <br />DISTANCE TO TANKS(S) <br />Public'Nell <br />500 ft. <br />Private Well <br />500 ft. <br />Irrigation Well <br />e1,000 ft. <br />Monitoring Well _ <br />400 ft. <br />Other <br />i NA ft. <br />1d_ Will the tank(s) pending closure be replaced Wth an aboveground or underground storage tanods)? YES[ i NGx] <br />15. Indicate the res5ansible party to be billed for additional EHD staff time expended beyond 3 F.Our minimum <br />permit o3yrr._nt per tank. If the party designated below :s different than the permit apfi-cent, e.g. property <br />owner, the party must acknowledge this rest -.risibility for the b.Tng by signature and date below. <br />Name Louis Levand Trust. Et. al. cfo Ms. Paula Levand <br />Mailing Address 24692 Sand Wedge Lane. Valencia. CA 91355 <br />Day done Nyn4r (_6_61 <br />904-2133 <br />Trustee <br />Title <br />L:112+Ud6 rRctis:dSrl M i <br />