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COMPLIANCE INFO 2015 - 2016
Environmental Health - Public
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EHD Program Facility Records by Street Name
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2300 - Underground Storage Tank Program
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PR0231435
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COMPLIANCE INFO 2015 - 2016
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Entry Properties
Last modified
7/6/2020 2:07:11 PM
Creation date
8/5/2019 10:44:13 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2015 - 2016
RECORD_ID
PR0231435
PE
2361
FACILITY_ID
FA0000916
FACILITY_NAME
7-ELEVEN INC #19976
STREET_NUMBER
1399
Direction
N
STREET_NAME
MAIN
STREET_TYPE
ST
City
MANTECA
Zip
95336
APN
21633034
CURRENT_STATUS
01
SITE_LOCATION
1399 N MAIN ST
P_LOCATION
04
P_DISTRICT
003
QC Status
Approved
Scanner
KBlackwell
Supplemental fields
FilePath
\MIGRATIONS\M\MAIN\1399\PR0231435\2016 RETROFIT PLANS SR0074936 .PDF
QuestysFileName
2016 RETROFIT PLANS SR0074936
QuestysRecordDate
5/22/2017 9:16:03 PM
QuestysRecordID
3392977
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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5. Decontamination Procedures: <br />a. Will piping be decontaminated prior to removal? YES [ ] <br />b. Identify contractor performing decontamination.- <br />Name <br />econtamination:Name <br />Address <br />c, Describe method to be used for decontamination: <br />MAR 3 0 2016 <br />N ENVIRONMENTAL <br />UrAjTLj nr'+7!}r- %Ar_%JT <br />Phone {_) <br />City Zip <br />d. Describe how rinsa`te material will be stored onsite for to manifesting offsite: <br />o k-' VVAZ� CAOJ 5 <br />e. Rinsate Hai:' -1 normitted Treatment, Storage & Disposal Facilitv: <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 &1S1iI q Phone 9-4 `t Lf too ~ S2� <br />Address � 7 � �c�t.fi'C 1.��� �� , City (.Q1LQ;j Zip a� <br />Hauler Registration # (if hauled as hazardous) <br />c. Piping Disposal Site: <br />Name Phone <br />Address City Zip <br />EPA ID# (if transported to a permitted TSD facility) C_P) d Ot'�ASS 3 <br />7. is the sampling firm an independent third party from the contractor? YES [ j NO [ ] <br />a. Identify sampling firm - <br />Name "�Vvk�c Phone(`()(Q�-Ot'((}� <br />Address3C) 17 ��¢ ���`}�r�, y�c� �� City c a cejricip_JSG2r-) <br />b. Identify laboratory performing analysis: <br />Name Phone (�) <br />Address City Zip <br />8. Describe, in detail, ho the soil and/or water sample(s) beneath the piping or dispenser will be obtained: <br />__Co 'V7-12-1Tt \1`P(K <br />It, <br />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 />IWAT.7T7 <br />ME <br />W`<.t- U f <br />
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