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COMPLIANCE INFO_2016-2018
Environmental Health - Public
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2300 - Underground Storage Tank Program
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PR0507204
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COMPLIANCE INFO_2016-2018
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Last modified
2/29/2024 11:45:34 AM
Creation date
6/23/2020 6:58:22 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2016-2018
RECORD_ID
PR0507204
PE
2361
FACILITY_ID
FA0007735
FACILITY_NAME
7-ELEVEN INC #32262
STREET_NUMBER
2360
Direction
W
STREET_NAME
GRANT LINE
STREET_TYPE
RD
City
TRACY
Zip
95376
APN
23819001
CURRENT_STATUS
01
SITE_LOCATION
2360 W GRANT LINE RD
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0507204_2360 W GRANT LINE_2016-2018.tif
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EHD - Public
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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 />NO[J <br />2016 <br />Phone ( ) <br />City Z <br />-APP-A, 4 A n --KIT <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 Zip <br />Permitted Disposal Site <br />6. a. Describe the method that will be utilized to purge and/or inert the piping: <br />b. Piping Hauler: <br />Name Phone ( ) <br />Address City Zip _ <br />Hauler Registration # (if hauled as hazardous) <br />c. Piping Disposal Site: <br />Name Phone ( ) <br />Address City Zip _ <br />EPA ID# (if transported to a permitted TSD facility) <br />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 />E <br />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 />4 <br />Phone ( ) <br />Zip <br />
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