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SITE HISTORY
Environmental Health - Public
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EHD Program Facility Records by Street Name
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HAMMER
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1210
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3500 - Local Oversight Program
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PR0545245
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SITE HISTORY
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Last modified
1/30/2020 11:03:50 AM
Creation date
1/30/2020 10:32:58 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE HISTORY
RECORD_ID
PR0545245
PE
3528
FACILITY_ID
FA0003730
FACILITY_NAME
TIWANA GAS & FOOD
STREET_NUMBER
1210
Direction
E
STREET_NAME
HAMMER
STREET_TYPE
LN
City
STOCKTON
Zip
95210
APN
09403012
CURRENT_STATUS
02
SITE_LOCATION
1210 E HAMMER LN
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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SJGOV\sballwahn
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EHD - Public
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.8. a 17be the method that will be utilized to purge and/or inert the tank(s): <br /> iL <br /> b. Tank/Piping Hauler- <br /> Name .-. � ll__ .. <br /> Address �l�l� . Cite "'a A Zip �� <br /> Phone No ( � � 3 <br /> Hsnler Registration# (if hauled as hazardous) <br /> — <br /> qc. Tank/Pipuig Disposal Site: <br /> Name Cie_ <br /> 94-90-1 <br /> Address `�� � �� City_ C-1UAZvt�zip <br /> Phone No <br /> 1� EPA M# (if transported to a permitted TSD facility) 4�n _D 6 3CiZ <br /> 9 Describe, in detail, how the soil and/or water sample(s) beneath the tank and piping will be obtained- <br /> iI1 <br /> 10. Describe how the excavation will be backfilled with suitable material upon removal. <br /> L�Uw -co Z& jk5g�UnUZD r <br /> W 1 -A 3 1¢2 ? Ga At-1F L_ <br /> 11 Handling of excavated soil: <br /> a) What material will be used to line the tank pit and cover the stockpile? <br /> 14 aA <br /> 1 M-i�S t'1 —�oCl <br /> (p Wtit— VtsQ0cz� <br /> b) What will be the final destination of the excavated stockpile? <br /> A v S 1 ,rn cL <br /> c) Contaminated Sod Hazardous Waste Hauler-. 1 ! <br /> Name 1 t i y cL— 'MJ C►ei ✓& 1,5, H er Registration# GA L7 3 oa 3 "� <br /> Address SNJEk] ?2) _ City _ Zip <br /> Phone No. ( 5 Cl — <br /> Page 5 <br />
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