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ARCHIVED REPORTS_XR0012738
Environmental Health - Public
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EHD Program Facility Records by Street Name
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3500 - Local Oversight Program
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PR0545336
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ARCHIVED REPORTS_XR0012738
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Entry Properties
Last modified
2/10/2020 10:42:18 PM
Creation date
2/10/2020 4:08:28 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0012738
RECORD_ID
PR0545336
PE
3528
FACILITY_ID
FA0003776
FACILITY_NAME
KWIK SERV LODI BW 113*
STREET_NUMBER
420
Direction
W
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95240
APN
06202042
CURRENT_STATUS
02
SITE_LOCATION
420 W KETTLEMAN LN
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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D. SITE SAFETY WORK PLAN <br /> PERSONNEL <br /> Team Member(list) Tit a jtes o. s'k+ilit <br /> Jacqueline Roddy Project tanager Site Coordinator <br /> Jacqueline Roddy Staff E'ng,ineer. Project Engineer <br /> Brian Garber Geologist Site Safety Officer <br /> [ w Perimeter Establishment: <br /> i Map/ske sh T,ttached? Y��s xs= No Site Secured? Yes No XX <br /> Perimetr z TC1ntified?Ye,_X" o Zexu line defined?Yeses NaX <br /> Free ,r <br /> Yeses No _ Dissolved Product? .Yeses , No_� <br /> .gym <br /> "` INS __I 4'T'1�N-3RR2VED MATERIAL DISPOSAL: <br /> i,,,_: <br /> !- S ] the torings <br /> will. be placed in Department of <br /> -• T '� >' ;ion approve; ksrrels or vis <br /> queue. If barrels, they-will <br /> 3 d with the boring number and 'depth intervals <br /> from wbi. ch- tntl meterxc,_.r,;-iginated, the date .and Aegis job number. <br /> A drumm d.eon l wor].sh�eet wi.11�be generated at the time: of drilling. <br /> Two' composite n&InPl *s will be obtained from each boring. One.sample <br /> VC l analyzed for TPH, total. lead, inorganic lead and organic <br /> lead. Tse reAlainifxg sample will be frozen and retained by :the <br /> Py ].Sb r tory o fuxther testing'.. 'if required to classify drummed: ' <br /> Coil. Any '.Fa�tterial disposed off-site will be .disposedof in <br /> f ;a, cor.+iance with existing regulation and guidelines. <br /> j 1f matC-ri2kX. is on visquene then analytical work will be performed <br /> an soil and soil Will be handled accordingly: . <br /> u6.1 <br /> 7. <br /> � J <br /> 1 1 <br /> E <br /> .wi_. <br /> ' �a., <br />
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