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COMPLIANCE INFO_2000-2009
Environmental Health - Public
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2300 - Underground Storage Tank Program
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PR0515864
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COMPLIANCE INFO_2000-2009
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Last modified
1/19/2024 2:09:22 PM
Creation date
6/3/2020 9:59:44 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2000-2009
RECORD_ID
PR0515864
PE
2361
FACILITY_ID
FA0012355
FACILITY_NAME
A&A GAS FOOD MART
STREET_NUMBER
1330
Direction
E
STREET_NAME
YOSEMITE
STREET_TYPE
AVE
City
MANTECA
Zip
95336
APN
22120053
CURRENT_STATUS
01
SITE_LOCATION
1330 E YOSEMITE AVE
P_LOCATION
04
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0515864_1330 E YOSEMITE_2000-2009.tif
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EHD - Public
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~ _ <br /> `� == <br /> 5' Decontamination Procedures: <br /> a. Will piping bedecontaminated prior toremoval? YES [] NO <br /> b. Identify contractor performing decontamination: <br /> Phone <br /> Name <br /> AddAddresscity Zip <br /> ________ <br /> c. Describe method tobaused for decontamination: <br /> d. Describe how rinsate material will be stored onsite prior to manifesting offsfte: <br /> e. Rinmata Hauler and permitted Treatment, Storage&Dispoaal Facility: <br /> Phone > Hau|�rReo# <br /> Hauler Name Reg <br /> #. <br /> City ZiP________ <br /> Permitted Disposal Site <br /> 8. o. Describe the method that will beutilized topurge and/or inert the piping: <br /> b. Piping Hauler: <br /> Name <br /> Phone <br /> --------- <br /> city Zip <br /> Address <br /> Hauler Registration#(if hauled eshazardous) <br /> c. Piping Disposal Site: <br /> Phone <br /> Name <br /> -----� city Zip <br /> Address <br /> EPA)D#(if transported boapermitted TSD facility) <br /> 7. \nthe sampling firm anindependent third party from the contractor? YES[] NO <br /> a. Identify sampling firm: <br /> Ph <br /> Nam city 2]p_______ <br /> Addres <br /> b. Identify laboratory performing analysis: <br /> Phone( \ <br /> Name <br /> city Zip____ <br /> Address <br /> B. Describe, in detail, how the soil and/or water sample(s)beneath the piping or dispenser will be obtained: <br /> S' a' Handling ofexcavated soil(Contaminated Soil Hazardous Waste Hau|eh: <br /> Name Hauler Registration Phone( <br /> �� <br /> Address �/p <br /> city ------ <br /> b. \fsoil \onot hobehauled,describe what will"edone with it: <br /> 3 <br />
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