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COMPLIANCE INFO 2017 - 2018
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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PR0231760
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COMPLIANCE INFO 2017 - 2018
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Last modified
8/21/2019 11:07:05 AM
Creation date
8/21/2019 9:40:18 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2017 - 2018
RECORD_ID
PR0231760
PE
2351
FACILITY_ID
FA0003831
FACILITY_NAME
WATERLOO FOODMART
STREET_NUMBER
4315
Direction
E
STREET_NAME
WATERLOO
STREET_TYPE
RD
City
STOCKTON
Zip
95215-2305
APN
08710034
CURRENT_STATUS
01
SITE_LOCATION
4315 E WATERLOO RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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5. Decontamination Procedures: <br />a. Will piping be decontaminated prior to removal? YES D( NO[] <br />b. Identify contractor performing decontamination: <br />Name Elite IV Contractors Phone (209) 461-6337 <br />Address 2,535 W awam Dr City Stockton Zip qsms <br />c. Describe method to be used for decontamination: <br />Triple Rinse <br />d. Describe how rinsate material will be stored onsite prior to manifesting offsite: <br />55 Gallon closed top drum <br />e. Rinsate Hauler and permitted Treatment, Storage & Disposal Facility: <br />Hauler Name American Valley Waste oil Phone (_800 732-4645 Hauler Reg# 3744 <br />Address PO Box 340 City Delhi Zip 95315 <br />Permitted Disposal Site SteriCycle - TSD 21 Century - 2095 Newland, NV 89408 (EPA Ned 980895338) <br />6. a. Describe the method that will be utilized to purge and/or inert the piping: <br />Triple Rinse <br />b. Piping Hauler: <br />Name <br />Address <br />Hauler Registration # (if hauled as hazardous <br />Phone �) <br />City Zip <br />c. Piping Disposal Site: <br />Name Waterloo Shell Phone (209) 931-3674 <br />Address 4315 E Waterloo Rd City Stockton Zip 95205 <br />EPA ID# (if transported to a permitted TSD facility) <br />7. Is the sampling firm an independent third party from the contractor? YES pg NO[] <br />a. Identify sampling firm: <br />Name Advanced GelEnvironmental. Inc Phone( 209) 467-1006 <br />Address 837 Shaw Rd City Stockton Zip 95215 <br />b. Identify laboratory performing analysis: <br />Name EnviroChem Phone ( 909) 590-5905 <br />Address 1214 E Lexington Avenue City Pomona Zip 91766 <br />8. Describe, in detail, how the soil and/or water sample(s) beneath the piping or dispenser will be obtained: <br />Discrete samples will be collected using a metric soil sampler and clean, stainless steel sleeves. <br />Samples will be collected direstly beneath UDCs and/or from the backhoe bucket <br />9. a. Handling of excavated soil (Contaminated Soil Hazardous Waste Hauler): <br />Name American Valley Waste Oil Hauler Registration # 3744 Phone (800)__T32-4645 <br />Address PO Box 340 City Delhi Zip 95315 <br />b. If soil is not to be hauled, describe what will be done with it: <br />If Soil is non -contaminated, it will be spread on-site. Fnr_C�Ml IMM <br />EH230038 (revised 12-11-15) 4 <br />APR �6 2018 <br />ENVIRONMENTAL <br />HFAITH FjFPAPTM=NT <br />
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