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2. <br />3. <br />GENERAL INFORMA'T'ION: <br />Obtain an EPA Site Number from the Department of Health Services (916) 324-1781 for temporary <br />hazardous waste removal activities associated with underground storage tank (UST) removals. <br />Disposal Information: Public Health Services Tracking Sheet shall accompany each tank removed <br />te <br />from site. Tank(s) will be issueCon factor will affix same idenwhich <br />tification numberpontontank endwill <br />using <br />on the Tank Tracking Sheet. <br />ed under Hazardous <br />fluorescent spray paint. Contaminatedniere to be transport <br />Waste Manifest by a state registered ad and/or piping <br />erify <br />Lower <br />Contractor to Provide: Combustible/Flammable <br />1= toal f�uig �om(��vation)eadequatExplosive <br />numbers) and <br />(LEL) atmosphere and oxygen level P to minimize traffic <br />appropriate type(s) of fire extinguisher(s), barriers to secure the area as necessary <br />and pedestrian interference, and fluorescent <br />spray Fiance wiint to th all ideaealth identification <br />regulationers. Its and <br />be the project manager's responsibility P <br />requirements, which shall be strictly adhered to at all times during the course of the closure activities. <br />4 The PHS-EHD permit shall be on site during tank excavation and removal. <br />5. Any changes in this document shall be approved by PHS-EHD prior to initiating work. <br />is the sgcrested method of <br />6. Closure -in -Place: If Closure -in -P] ro al fromuhe local Fire Departmentonment, complete form <br />EH 23 039 and submit written app <br />7. Temporary Closure: If Temporary Closure is the suggested method of abandonment, complete <br />form EH 23 046 and submit written approval from the local Fire Department. <br />g. The following documentation shall be submitted within 30 days of the tank removal <br />date: <br />a) <br />b) <br />C) <br />Analytical results, mailed directly from laboratory to PHS-EHD, including a chain of custody. <br />Tank Tracking Record Sheet(s) and/or Tank Hazardous Waste Manifest(s). <br />Hazardous Waste Manifests for piping, rinsate, residual fuel. or waste oil receipt. <br />d) Submit the backfill excavation certificate <br />incorporated City Building Departments. <br />agency for their review. <br />as required by San Joaquin County and the <br />This report will be referred to the appropriate <br />A site which has had UST(s) removed, shall not be considered for final closure until the above items <br />are submitted for review. <br />EH 23 040 (Revised 77-10-92) <br />Page 2 <br />