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COMPLIANCE INFO_2012-2015
Environmental Health - Public
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2300 - Underground Storage Tank Program
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PR0231766
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COMPLIANCE INFO_2012-2015
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Last modified
10/25/2023 1:18:05 PM
Creation date
6/3/2020 9:53:09 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2012-2015
RECORD_ID
PR0231766
PE
2361
FACILITY_ID
FA0003717
FACILITY_NAME
CHEVRON STATION #99840*
STREET_NUMBER
4344
Direction
E
STREET_NAME
WATERLOO
STREET_TYPE
Rd
City
Stockton
Zip
95215
APN
10102156
CURRENT_STATUS
01
SITE_LOCATION
4344 E Waterloo Rd
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
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\MIGRATIONS\UST\UST_2361_PR0231766_4344 E WATERLOO_2012-2015.tif
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EHD - Public
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N67- <br /> 5. Decontamination Procedures: Y <br /> a. Will piping be decontaminated prior to removal? YES [] NO [] JAN 2 21716 <br /> b. Identify contractor performing decontamination: <br /> z ` <br /> I MR <br /> UNMENTAL <br /> Name Phone _ <br /> Address City Zip <br /> c. Describe method 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(_) Hauler Reg# <br /> Address City Zip <br /> Permitted Disposal Site <br /> 6. a. Describe the method that will be utilized to purge and/or inert the piping: <br /> b. Piping Hauler: <br /> Name Phone(� <br /> Address City Zip <br /> Hauler Registration#(if hauled as hazardous) <br /> c. Piping Disposal Site: <br /> Name Phone(_) <br /> Address City Zip <br /> EPA ID#(if transported to a permitted TSD facility) <br /> 7. Is the sampling firm an independent third party from the contractor? YES NX NO [] <br /> a. Identify sampling firm: <br /> Name Phone( ) <br /> Address City Zip <br /> b. Identify laboratory performing analysis: <br /> Name Phone(_) <br /> Address City Zip <br /> 8. Describe, in detail, how the soil and/or water sample(s) beneath the piping or dispenser will be obtained: <br /> 9. a. Handling of excavated soil (Contaminated Soil Hazardous Waste Hauler): <br /> Name Hauler Registration# Phone (_) <br /> Address City Zip <br /> b. If soil is not to be hauled, describe what will be done with it: <br /> ALL SOILS ARE PLACED/COVERED WITH VISQUEEN AND IF PEA GRAVEL IS CLEAN IT WILL BE REUSED <br /> 3 <br />
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