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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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LATHROP
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1137
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2300 - Underground Storage Tank Program
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PR0530093
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COMPLIANCE INFO_2017 - 2018
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Last modified
11/20/2019 2:36:09 PM
Creation date
11/19/2019 2:48:02 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2017 - 2018
RECORD_ID
PR0530093
PE
2351
FACILITY_ID
FA0019793
FACILITY_NAME
CRUISERS MANTECA #29
STREET_NUMBER
1137
Direction
W
STREET_NAME
LATHROP
STREET_TYPE
RD
City
MANTECA
Zip
95336
APN
19724002
CURRENT_STATUS
01
SITE_LOCATION
1137 W LATHROP RD
P_LOCATION
04
P_DISTRICT
003
QC Status
Approved
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5. Decontamination Procedures: <br /> a., Will piping be decontaminated prior to removal? YES [] NO ] <br /> b. Identify contractor performing <br /> decontamination: <br /> Name �,�` j Phone ( ) <br /> Address City Zip <br /> c. Describe method to be used for decontamination: <br /> d. Describe how rinsate material will be stored onsite prior to manifesting offsite: <br /> e. Rinsate Hauler and peer tte/ Treatment, Storage & Disposal Facility: <br /> Hauler Name 6 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: / /C�'Name Phone ( ) <br /> Address City Zip <br /> Hauler Registration #(if hauled as hazardous) <br /> c. Piping Disposal Site: <br /> Name 41 Phone ( ) <br /> Address City Zip <br /> EPA ID# (if transported to a permitted TSD facility) <br /> 7. Is the sampling firm an indeperjdent third party from the contractor? YES [] NO [] <br /> a. Identify sampling firm: <br /> Name Phone( ) <br /> Address City Zip <br /> b. Identify laboratory performing analysis: <br /> Name Phone ( ) <br /> Address City Zip <br /> 8. Describe, in detail, how the soil an /or water sample(s) beneath the piping or dispenser will be obtained: <br /> 9. a. Handling of excavated soil (Cntaminated Soil Hazardous Waste Hauler): <br /> Name Hauler Registration # Phone( ) <br /> AddressLl 17 City Zip <br /> b. If soil is not to be hauled, describe what will be done with it: <br /> EH230038(revised 7-26-2016) 4 <br />
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