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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. DeContarnlnation 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[] NO[] <br />MAR 18 2016 <br />ENVIRO MEMTAL <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 <br />Address <br />Permitted Disposal Site <br />Phone (_� Hamer Reg# <br />city Zip <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 Phone ( ? <br />Address City Zip <br />EPA ID# (if transported to a permitted TSD facility) <br />7. Is the sampling firm an independent third party from the contractor? YES DQ NO[) <br />a. Identify sampling firm: <br />Name 5T —e-'-- Phoned& _ 3— C.'-/0 6 <br />Address 3C>{ % ! 400 City)C-H`+C� Zipy 7Li <br />b. Identify laboratory performing analysis: e 00-100VA <br />Name Phone IS, 72 6 - C� ! 7 7 <br />Address 5` v - C��fCsf� t C1ty 1VAJhigj4gzjp <br />8. Describe, In detail, how the soil and/or water sample(s) beneath the piping or dispenser will a obtained: <br />9. a. Handring of excavated soil (Contaminated Soil Hazardous Waste Hauler <br />Name a le egistration #s E 7 �Pho"n'e' <br />Address � t.AV.-1Z ;j IJ cityl�DDj�(/LL wC,t� zip <br />b. If soil is not to be hauled, describe what will be done with it: L 19 <br />4 <br />
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