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COMPLIANCE INFO_2013-2018
Environmental Health - Public
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2300 - Underground Storage Tank Program
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PR0231074
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COMPLIANCE INFO_2013-2018
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Last modified
3/1/2023 11:27:36 AM
Creation date
6/23/2020 6:41:03 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2013-2018
RECORD_ID
PR0231074
PE
2361
FACILITY_ID
FA0002541
FACILITY_NAME
7-ELEVEN INC #20632
STREET_NUMBER
4627
STREET_NAME
DA VINCI
STREET_TYPE
DR
City
STOCKTON
Zip
95207
APN
11002003
CURRENT_STATUS
01
SITE_LOCATION
4627 DA VINCI DR
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
SJGOV\rtan
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FilePath
\MIGRATIONS\UST\UST_2361_PR0231074_4627 DA VINCI_2013-2018.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? <br />b. Identify contractor performing decontamination: <br />Name <br />Address <br />c. Describe method to be used for decontamination: <br />• <br />YES [ ] NO [ ] <br />Phone <br />City _ <br />d. <br />Describe how rinsate material will be stored onsite prior to manifesting offsite: <br />e. <br />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. <br />Describe the method that will be utilized to purge and/or inert the piping: <br />b. <br />Piping Hauler: <br />Name Phone (� <br />Address City <br />Zip <br />Hauler Registration # (if hauled as hazardous) <br />c. <br />Piping Disposal Site: <br />Name Phone (� <br />Address City <br />Eip <br />EPA ID# (if transported to a permitted TSD facility) <br />7. Is the <br />sampling firm an independent third party from the contractor? YES 1JO <br />[ ] <br />a. <br />Identify sampling firm: <br />Name Phone( <br />Address City <br />Zip <br />b. <br />Identify laboratory performing analysis: <br />Name Phone (� <br />Address City <br />Zip <br />8. Describe, <br />in detail, how the soil and/or water sample(s) beneath the piping or dispenser will be <br />obtained: <br />9. a. <br />Handling of excavated soil (Contaminated Soil Hazardous Waste Hauler): <br />Name Hauler Registration # Phone (_) <br />Address City <br />Zip <br />b. <br />If soil is not to be hauled, describe what will be done with it: <br />EH230038 (revised 7-26-2016) 4 <br />
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