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r- I <br />� CEIGENERAL INFORMATION: V " <br />APR 2 3 1993 <br />1. Obtain an EPA Site Number from the Department of Health Services (916) 324-1781 for temporary <br />hazardous waste removal activities associated with underground storage tank WWRWWAL HEALTH <br />2. Disposal Information: Public Health Services Tracking Sheet shall accompany each tank removed <br />from site. Tank(s) will ►. issued an identification numberPHS-EHD's representative will •; <br />on the Tank Tracking Sheet. Contractori • r ► ' onto tank end using <br />fluorescent spray paint. Contaminated tanks and/or piping are to be transported under Hazardous <br />Waste Manifest by a state registered hazardous waste hauler. <br />3. Contractor to Provide: Combustible/Flammable gas detector (to verify the Lower Explosive Limit <br />(LEL) atmosphere and oxygen level of tank prior to lifting from excavation), adequate number(s) and <br />appropriate type(s) of fire extinguisher(s), barriers to secure the area as necessary to minimize traffic <br />and pedestrian interference, and fluorescent spray paint to affix tank identification numbers. It shall <br />be the project manager's responsibility for compliance with all health & safety regulations and <br />requirements, <br />1' whichbestrictly adheredto atall times duringthecourseof :closure activities. <br />4 'Me PHS-EHD permit shall be on site during tank excavation and removal. <br />5. Any changes in this document shall be approved by PHS-EHD prior to initiating work. <br />6. Closure -in -Place: If Closure -in -Place is the suggested method of abandonment, complete form <br />EH 23 039 apd submit written approval from the local Fire Department. <br />7. Temporary Closure: If Temporary Closure is the suggested method of abandonment, complete <br />form EH 23 046 and submit written approval from the local Fire Department. <br />8. The { t 1 documentation f be 1 1 within 30• of the tank removal <br />date: <br />a) Analytical results, mailed directly from laboratory to PHS-EHD, including a chain of custody. <br />) `lank Tracking Record Sheet(s) and/or Tank Hazardous WasteManifest(s). <br />c) Hazardous Waste Manifests for piping, rinsate, residual fuel, or waste oil recelpt. <br />d) Submit the backfill excavation certificate as required by San Joaquin County and the <br />incorporated City Building Departments. This report will be referred to the appropriate <br />agency for their revi <br />site which has had UST(s) removed, shall not be consideredfor final closure until the above Items <br />am submitted for review. <br />EH 23 040 (Revised 7-10-92) Page 2 <br />