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GENERAL INFORMATION. / t Obtain an EPA Site Number from the Department o'Health Services (916) 324-1781 for temporary hazardous waste removal activities associated with underground storage tank (UST) removals 2 Disposal Information, Public Health Services Tracking Sheet shall accompany each tank removed from site Tank(s)will be Issued an Identificallon number which PHS-EHD's representative will note on the Tank Tracking Sheet Contractor will affix same identification number onto tank end using fluorescent spray paint Contaminated tanks and/or piping are to be transported under Hazardous ' Waste Manifest by a state registered hazardous waste hauler. 3 Contractor to Provide. Combustible/Flammable gas detector (to verify the Lower Explosive Limit ' (LEL)atmosphere and oxygen level of tank prior to lifting from excavation),adequate number(s)and appropriate type(s)of fire extinguisher(s),barriers to secure the area as necessary to minimize traffic i and pedestrian Interference,and fluorescent spray paint to affix tank Identification numbers It shall be the project manager's responsibility for compliance with all health & safety regulations and requirements,which shall be strictly adhered to at all times during the course of the closure activities. 4 The PHS-EI-1.13 permit shall be on site during tank excavation and removal i ' S Any changes in this document shall be approved by PHS-E}ID prior to initiating work. 6 Closure-In-Place if Closure-in-Place Is the suggested method of abandonment, complete form ' EH 23 039 and submit written approval from the local Fire Department. 7 Tempornry Closure- If Temporary Closure is the suggested method of abandonment, complete form Ell 23 046 and submit written approval from the local Fire Department. I, 8 The following documentation shall be submitted within 30 days of the tank removal date: a) Analytical results,mailed directly from laboratory to PHS-EI3D,Including a chain of custody. ' b) Tank Tracking Record Sheets) and/or Tank Hazardous Waste Manifesi(s) C) Hazardous Waste Manifests for piping, rinsate, residual fuel, or waste oil receipt. ' d Submit thea b ckfill excavation certillcatc as requited by San Joaquin County and the Incorporated City Building Departments This report will be referred to the appropriate agency for their review A mite which has had UST(s) removed,shall not be considered ror Mal closure until the above Items ' sere submitted for review. t Ell 23 040 (Revised 7-10-92) Page 2 1