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COMPLIANCE INFO_2009-2013
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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PR0232494
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COMPLIANCE INFO_2009-2013
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Last modified
11/14/2023 12:52:58 PM
Creation date
6/3/2020 9:57:23 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2009-2013
RECORD_ID
PR0232494
PE
2361
FACILITY_ID
FA0002602
FACILITY_NAME
KAISER PERMANENTE
STREET_NUMBER
7373
STREET_NAME
WEST
STREET_TYPE
LN
City
STOCKTON
Zip
95210
APN
09416023
CURRENT_STATUS
01
SITE_LOCATION
7373 WEST LN
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0232494_7373 WEST_2009-2013.tif
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EHD - Public
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0 • <br /> 5. Decontamination Procedures: <br /> a- Will piping be decontaminated prior to removal? YES NO[J <br /> b. Identify contractor performing decontamination <br /> y. <br /> Name Cr�.� SjS Q wrrlbtY'r,1G+'l1'Z�!�_._.._ Phone <br /> Address X75 Mori- _rw l�.r,�q,•t fidCityss CA. 47.5112- <br /> c. Describe method to be used for decontamination: <br /> �'4iL�_�alt,�_.1D__. k�(�/o.r ,leiras w!'t�_d1�r�t� .PtNfd✓���.:ilyrr__rvuLt wed <br /> Go UCCA" wa to- !n tb �i vrt i <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 /A6jej�smeA&I Phone 0!!q-)-ZZO 00 Hauler Reg# <br /> Address j tX _ ktft_ VG.___._- City __Zip <br /> Permitted Disposal Site D K. D&m6 <br /> 6. a. Describe the method that will be utilized to purge and/or inert the piping: <br /> b. Piping Hauler: <br /> Name <br /> 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[ NO[) <br /> a. Identify s!KY'VI"C, <br /> ng firm: y / <br /> Name b"i'-ZiZ,.- _ Phone(-!p/�i.)_ S� T ' _0 i <br /> Address City�kG44,94� Zip_ <br /> b. Identify labors pry performing analysis: 7 <br /> Name iZ1 Phone ) T0 — <br /> Address -t _t t Z �I 2.✓ _ CityL- <br /> 8. Des c 'be,in etail, 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�_O YI Hauler Registration# Phone <br /> Address City __ Zip <br /> b_ If soil is not to be hauled,describe what will be done with it: <br /> 4 <br />
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