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/ U} <br /> " - �.J <br /> S E M C <br /> James C. Bateman Petroleum Services Inc . <br /> 431 West Hatch Road. Modesto . CA 95351 <br /> ' General EnganAering Building Contractor <br /> License No . 449864 A. B, C-61 <br /> ( 309) 524-9653 <br /> San J(-,.,qLain Local Health District <br /> 151t)1 E,ist Hazelton Ave. <br /> wt ocf ton. California 95205 <br /> APPLICATION TO CLOSE/REMOVE <br /> UNDERGROUND STORAGE TANK <br /> JOB SIVE ADDRESS: a y� E , L RN L- �-o tJ` iC A <br /> Item 2 . The site will be reported to "U.S.A" (Underground <br /> Service Alert ) a minimum of 48 hours prier to <br /> beginning excavation of tanks. <br /> Item 3 . The Fire Prevention Bureau issues their- permit <br /> following the Health Department . It is understood <br /> that the Fire Department permit will be acquired <br /> prior to the tants removal . <br /> Item E• The tank and piping will be decontaminated by <br /> ,j�triple rinsing" with a 2, 000 psi pressure washer <br /> ' with a solution of biodegradable soap at a <br /> temperature of 180 degrees. The rinsate and <br /> residual fuel will be recycled. All liquids shall <br /> by handled as hazardous waste with a manifest pro- <br /> vided to S.J.L...H D . Transportat on will be supplied <br /> by; U-1ElQ61ALSF_ <br /> -- _--- --------- -__- -_ -----___- The <br /> tants and piping wz I I be re-ycled�a5 scrap metcil <br /> after decontama ation at : _ _ <br /> _- 1-Axl21 L _CR <br /> iItem s. Sample( s) will be obtained below tank invert as per <br /> the attached Sampling Protocal For Routine Tank <br /> Removals. Grab method, using brass or stain-less <br /> steel tubes will be employed to collect and preserve <br /> samples taken from backhoe bucket 2" below sail <br /> surface. Samples will be obtained approximately 3 � <br /> to 4 ' below tants , an native seal . Piping runs in <br /> e„cess of PO ' shall be sampled at 20' intervals, as <br /> directed by S.J.L.H.D. <br /> Item 10. The tank will be purged with dry ace, using a / <br /> minimum of fifteen ( 15) pounds per I .C)CrC) gallon tant V <br /> • capacity. Minimum of ten ( 10) pounds of dry ice will <br /> be used on tangs with Iess than I .00 r gal lons ca- <br /> pacity. Tangs will be identified with high <br /> visibility paint using S .J .L.H.D. tank tracking <br /> ' numbers. <br />