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COMPLIANCE INFO_2008-2012
Environmental Health - Public
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EHD Program Facility Records by Street Name
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JACKSON
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2300 - Underground Storage Tank Program
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PR0231488
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COMPLIANCE INFO_2008-2012
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Last modified
8/12/2021 11:12:52 AM
Creation date
6/23/2020 6:49:29 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2008-2012
RECORD_ID
PR0231488
PE
2361
FACILITY_ID
FA0003910
FACILITY_NAME
H&M - BW #98
STREET_NUMBER
2501
STREET_NAME
JACKSON
STREET_TYPE
AVE
City
ESCALON
Zip
95320
CURRENT_STATUS
01
SITE_LOCATION
2501 JACKSON AVE
P_LOCATION
06
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\rtan
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FilePath
\MIGRATIONS\UST\UST_2361_PR0231488_2501 JACKSON_2008-2012.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 />YES [ ] <br />E <br />NO [ ] <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 Hauler Reg# <br />Address City <br />Permitted Disposal Site <br />NIA 6. a. Describe the method that will be utilized to purge and/or inert the piping: <br />b. Piping Hauler: <br />Name <br />Address <br />Hauler Registration # (if hauled as hazardous <br />City <br />Phone <br />Zip <br />Zip <br />c. Piping Disposal Site: <br />Name Phone (� <br />Address City Zip <br />EPA ID# (if transported to a permitted TSD facility) <br />KlN 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 />1 f(A 8. Describe, in detail, how the soil and/or water sample(s) beneath the piping or dispenser will be obtained: <br />NIA 9. a <br />Handling of excavated soil (Contaminated Soil Hazardous Waste Hauler): <br />Name Hauler Registration # _ <br />Address City <br />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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