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COMPLIANCE INFO_2005-2010
Environmental Health - Public
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2300 - Underground Storage Tank Program
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PR0231125
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COMPLIANCE INFO_2005-2010
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Last modified
3/22/2024 2:54:41 PM
Creation date
6/23/2020 6:43:31 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2005-2010
RECORD_ID
PR0231125
PE
2361
FACILITY_ID
FA0003730
FACILITY_NAME
TIWANA GAS & FOOD
STREET_NUMBER
1210
Direction
E
STREET_NAME
HAMMER
STREET_TYPE
LN
City
STOCKTON
Zip
95210
APN
09403012
CURRENT_STATUS
01
SITE_LOCATION
1210 E HAMMER LN
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231125_1210 E HAMMER_2005-2010.tif
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EHD - Public
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R <br />K/A 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 [ ] NO l <br />Phone (� <br />City Zip <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 (� <br />Address <br />Permitted Disposal Site <br />6. a. Describe the method that will be utilized to purge and/or inert the piping: <br />Hauler Reg# _ <br />City Zip <br />b. Piping Hauler: <br />Name Phone(_ <br />Address City <br />Hauler Registration # (if hauled as hazardous) <br />c. Piping Disposal Site: <br />Zip <br />Name Phone (� <br />Address City Zip <br />/ EPA ID# (if transported to a permitted TSD facility) <br />jll 7. Is the sampling firm an independent third party from 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 water sample(s) beneath the piping or dispenser will be obtained: <br />N/A 9. a. Handling of excavated soil (Contaminated Soil Hazardous Waste Hauler): <br />Name Hauler Registration # _ <br />Address City _ <br />b. If soil is not to be hauled, describe what will be done with it: <br />3 <br />Phone ( <br />zip. <br />
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