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ARCHIVED REPORTS_XR0008017
Environmental Health - Public
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2900 - Site Mitigation Program
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PR0505897
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ARCHIVED REPORTS_XR0008017
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Last modified
3/31/2020 2:14:23 PM
Creation date
3/31/2020 2:05:02 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0008017
RECORD_ID
PR0505897
PE
2950
FACILITY_ID
FA0007071
FACILITY_NAME
SEARS ROEBUCK & COMPANY
STREET_NUMBER
5110
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
CURRENT_STATUS
02
SITE_LOCATION
5110 PACIFIC AVE
P_LOCATION
01
QC Status
Approved
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SJGOV\sballwahn
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EHD - Public
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1 <br /> 431 W Hatch Road Telephone <br /> Modesto, Calsfomta 95351 209-524-9653 <br /> r=,;k -1ID.'#i , ± S E M C 0 <br /> I <br /> ( General Engineering Building Contractor <br /> License No. 449864 A, B, C-61 <br /> ; $I Environmental Services Division <br /> Tank Destruction Certification <br /> ENVIROM�ENTAL HEALTH <br /> F ERMIT/SERVICES, <br /> This is to certify that SEMCO, Inc. , has in accordance with <br /> applicable local, state, and federal rules and regulations <br /> decontaminated and properly disposed of the following storage <br /> tank (s) : <br /> Excavation Location: <br /> Tank Identification: <br /> Identification Number 1 31- _ <br /> Size So 0 5_0_0_ S c <br /> Construction STZ6 L_ Sr E6 t_ S_6E L <br />' Product \;NP_K T„ L Olt- P44+,) 01 — ^}E U.1 OIL- <br /> Transporter: <br /> im <br /> Transporter: <br /> 431 W <br /> Decontamination Process : Decontaminated on site using <br /> "Triple Rinse Process" . Residual to be disposed of as <br />' Class i hazardous waste. Clean tank delivered to SEMCQ <br /> to be reduced to prepared scrap 18" x 36" for recycl- <br /> ing via Modesto Junk. <br /> I certify that this document and all attachments were prepared <br /> under my direction or supervision in accordance with a program <br /> designed to assure that qualified personnel properly decontam- <br /> inated and disposed of the above noted tank (s) . Based on my <br /> inquiry of the person or persons who managed the program, or <br /> those persons directly responsible for completion of the pro- <br /> gram assignments, the above information is true, accurate and <br /> complete to the best of my knowledge and belief. <br /> Signature Title Date <br /> 1 <br />
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