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COMPLIANCE INFO_2019
Environmental Health - Public
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EHD Program Facility Records by Street Name
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6421
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2300 - Underground Storage Tank Program
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PR0231706
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COMPLIANCE INFO_2019
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Last modified
10/5/2022 4:02:03 PM
Creation date
9/10/2020 2:35:03 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2019
RECORD_ID
PR0231706
PE
2361
FACILITY_ID
FA0000485
FACILITY_NAME
FLAG CITY CHEVRON
STREET_NUMBER
6421
STREET_NAME
CAPITOL
STREET_TYPE
AVE
City
LODI
Zip
95242
APN
05532024
CURRENT_STATUS
01
SITE_LOCATION
6421 CAPITOL AVE
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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SANAAQUINEnvironmental Health Department <br /> — COU NTY <br /> - <br /> c . Describe method to be used for decontamination : <br /> N/A <br /> d . Describe how rinsate material will be stored onsite prior to manifesting offsite : <br /> N/A <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 /> 9 . a . Handling of excavated soil (Contaminated Soil Hazardous Waste Hauler) : <br /> Name Hauler Registration # Phone (_) <br /> Address City Zip <br /> b . If soil is not to be hauled , describe what will be done with it: <br /> 4of6 <br />
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