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COMPLIANCE INFO_2009-2010
Environmental Health - Public
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EHD Program Facility Records by Street Name
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COUNTRY CLUB
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1403
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2300 - Underground Storage Tank Program
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PR0231995
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COMPLIANCE INFO_2009-2010
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Last modified
1/18/2023 11:36:29 AM
Creation date
6/3/2020 9:56:17 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2009-2010
RECORD_ID
PR0231995
PE
2361
FACILITY_ID
FA0006438
FACILITY_NAME
United # 5446
STREET_NUMBER
1403
Direction
W
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
APN
12323246
CURRENT_STATUS
01
SITE_LOCATION
1403 W COUNTRY CLUB BLVD
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\rtan
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FilePath
\MIGRATIONS\UST\UST_2361_PR0231995_1403 W COUNTRY CLUB_2009-2010.tif
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EHD - Public
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5. Decontamination Procedures: <br />a. Will piping be decontaminated prior to removal? <br />b. Identify contractor performing decontamination: <br />Name <br />Address <br />c. Describe method to be used for decontamination: <br />YES [ ] <br />• <br />NO [ ] <br />Phone () <br />_ City Zip <br />d. Describe how rinsate material will be stored onsitq prior to manifesting offsite: <br />e. Rinsate Hauler and permitted Treatment, Storalge & Disposal Facility: <br />Hauler Name one ( ) <br />Address <br />Permitted Disposal Site <br />6. a. Describe the method that will be utilized to purge and/or inert A piping: <br />City <br />Hauler Reg# _ <br />Zip <br />b. Piping Hauler: <br />Name ' Phone O <br />Address City Zip <br />Hauler Registration # (if uleash ardous) <br />c. Piping Disposal Site: <br />Name Phone ( ) <br />Address City Zip <br />EPA ID# (if transported to a permitted TSD fa ity) <br />7. Is the sampling firm an independent third party fr m the contractor? YES [ ] 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 waters mple(s) beneath the piping or dispenser will be obtained: <br />9. a. Handling of excavated soil (Contaminate Soil Hazardous Waste Hauler): <br />Name Hauler Registration # <br />Address City <br />b. If soil is not to be hauled, describe what wine with it: <br />3 <br />Phone <br />Zip <br />
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