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COMPLIANCE INFO_1986-2002
Environmental Health - Public
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EHD Program Facility Records by Street Name
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2300 - Underground Storage Tank Program
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PR0231216
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COMPLIANCE INFO_1986-2002
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Last modified
12/27/2023 4:06:39 PM
Creation date
6/3/2020 9:46:12 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
1986-2002
RECORD_ID
PR0231216
PE
2361
FACILITY_ID
FA0002480
FACILITY_NAME
SHOP N GO 3
STREET_NUMBER
4511
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
APN
11023011
CURRENT_STATUS
01
SITE_LOCATION
4511 PACIFIC AVE
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231216_4511 PACIFIC_1986-2002.tif
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EHD - Public
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/5/2002 17:07 20946934.13FIFTH FLOOR PAGE 03 <br />Hauler Registration # r <br />Address 1 City Zi <br />p� <br />Permitted Disposal Site <br />7. a. Describe the method that will be utilized to purge and/or inert the piping: <br />b. Piping Hauler: <br />111 <br />Address <br />Phone (_�) <br />City Zip <br />Hauler Registration # (if hauled as hazardous) <br />C. Piping Disposal Site: <br />Name <br />Address <br />EPA ID (if transported to a <br />TSD facility) <br />Phone ( �) <br />t� <br />8. Is the sampling firm an independent third party from the contractor? YES [ ] NO ['I <br />9. Describe, in detail, how the soil and/or water sample(s) beneath the piping or dispenser will <br />be obtained: <br />10. Handling of excavated soil: <br />a) Contaminated Soil Hazardous Wast Hauler: <br />Name Hauler Registration # <br />Address /Y1City Zip <br />Phone (_) <br />b) If soil is not to be hauled, describe what will be done with it: <br />
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