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COMPLIANCE INFO_2003-2010
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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PR0231554
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COMPLIANCE INFO_2003-2010
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Last modified
4/28/2021 2:05:37 PM
Creation date
6/3/2020 9:50:28 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2003-2010
RECORD_ID
PR0231554
PE
2361
FACILITY_ID
FA0005678
FACILITY_NAME
LATHROP SHELL
STREET_NUMBER
16500
Direction
S
STREET_NAME
HARLAN
STREET_TYPE
RD
City
LATHROP
Zip
95330
CURRENT_STATUS
01
SITE_LOCATION
16500 S HARLAN RD
P_LOCATION
07
P_DISTRICT
003
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231554_16500 S HARLAN_2003-2010.tif
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EHD - Public
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VA <br />AM <br />C. Describe met d to be used for decontamination: <br />d. Describe how rinsate material will be stored onsite prior to manifesting offsite: <br />e. Rinsate Hauler and permitted Treatment, Storage & Disposal Facility: <br />Hauler Name__ ' Phone(—__—)__ <br />Hauler Registration <br />Address- ------------------------------- City <br />Permitted Disposal Site_—__`____—_ <br />a. Describe the method that will be utilized to purge and/or inert the piping: <br />b. Piping Hauler: <br />Name d <br />Address-------------------------- City---------------- Zip --- <br />Phone <br />Hauler Registration # (if hauled as hazardous)—_-- — <br />c. Piping Disposal Site: <br />Name----- /?- — Phone (------) <br />Addres <br />City. <br />EPA ID# (if transported to a permitted TSD facili <br />Is the sampling firm an independent third party from the contractor? <br />YES [ ] NO [I <br />9. Describe, in de ail, how the soil and/or water sample(s) beneath the piping or dispenser will be <br />obtained: ) <br />//I <br />3 <br />
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