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COMPLIANCE INFO_2003-2008
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_2003-2008
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Last modified
12/4/2023 2:32:22 PM
Creation date
6/3/2020 9:46:14 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2003-2008
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_2003-2008.tif
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EHD - Public
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s - <br /> 8. a. Describe the method that will be utilized to put and/or ine the tank(sj " <br /> IQOO <br /> b. TankMPing Hauler: <br /> Name VC5:4 Las+ Z 4eu; pyynf-YI -�"' / a ,, /� <br /> Address 5l a JaS j i o r C o t Le-I- city 1 Gtu.✓Ly C/a- zip `7�j 3 1 <br /> Phone N04 (n q 37 g <br /> Sauter Registration P Of hauled as hazardous) <br /> C. Tank/Piping Disposal Site: <br /> Name C AA_ <br /> f a <br /> Address 5..+!' ci ��D c.k— zip 15591 <br /> Phone NoO-q -3-7 <br /> BPA Mf of transported to a permitted TO facill )gig <br /> 9. Is the sampling firm an independent third party from the contractor? YES NO[j <br /> 9a. Describe,in detall,how the seq andlor water sample(s) ene th the tank and pip will b obtained:/ <br /> i �5 W i C� C O l LQ L t?YY7 D e. 6 ZLch,T <br /> 4- 01&iAJ il 692-MPLALC 6Lrl id 'Ord 55 eeVeS <br /> is ttG-- S 0.e)n P Ce-:&) <br /> 10. Describe how the excavation will be backfilled with suitable material upon removal: <br /> t) l I e lAS n e y;s-� <br /> 11. Handling of excavated so& <br /> a)What material will be used to line the tank pit and cover the stockpile? <br /> P(Q rJ 6 m;1) <br /> b)What will be the final destination of the excavated stockpile? <br /> 5ij n: s' Hv int de-cl 5oi l wi l be, Awed � <br /> c)Contaminated Sol]Hazardous Waste Hauler. <br /> Name p o r RaularRegistrationk <br /> Address �. ® Boy- t 7 (P city (I GY GL.. Zip �3�0 <br /> Phone No. Of i 54S-o <br /> EH 23 046(Revised 080 199) Page 5 <br />
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