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C , Tank/Piping Disposal Site : <br /> Name <br /> West Coast Equipment <br /> Address P . 0 . Box 2368 City Turlock , CA Zip 95381 <br /> Phone No . ( 800 ) 441 -8544 <br /> EPA ID# ( if transported to a permitted TSD facility ) N/a - Tank will be transported as Non-Haz . <br /> 9 . Is the sampling firm an independent third party from the contractor ( REQUIRED ) ? YES K ] NO [ ) <br /> 9a . Describe , in detail , how the soil and/or water sample(s) beneath the tank and piping will be obtained : <br /> Soil samples will be collected from backhoe bucked using a metric soil sampler and clean stainless steel <br /> sleeves. Ends of each sleeve will be covered with teflon sheets capped and sealed with tape <br /> 10. Describe how the excavation will be backfilled with suitable material upon removal : <br /> Self-compacting , clean fill material will be imported to replace the "volume" of the UST . Soil exavated during <br /> removal will e placed ac m o excava ion . o y s ee ing wi sepera e sol rom ac i is soil appears impacted . <br /> 11 . Handling of excavated soil : <br /> a) What material will be used to line the tank pit and cover the stockpile? <br /> 4-mil plastic sheeting , if necessary. <br /> b) What will be the final destination of the excavated stockpile? <br /> Excavated soil will be used for backfill . If significantly impacted , soil may be stockpiled on-site pending <br /> c araeenza ion or proper isposa <br /> c) Contaminated Soil Hazardous Waste Hauler: <br /> Name L & B Environmental , Inc. Hauler Registration # 3946 <br /> Address 4460 South Highway 99 City Stockton , CA Zip 95215 <br /> Phone Number ( 209 ) 932-0606 <br /> A <br /> 12 . What is the depth to groundwater? 40 feet, based upon montioring wells in general vicinity. <br /> Describe the source of information : <br /> 13 . Are there any water wells on this parcel or adjacent properties? YES [ I NO �) <br /> TYPE OF WELLS DISTANCE TO 7ANKS (S ) <br /> n- RECENEU <br /> Public Well 2 , 000 ft <br /> Private Well ft. SEP 2 8 2016 <br /> Irrigation well ft. ENVIRONMENTAL HEALTH <br /> Monitorin well 250 ft. DEPARTMENT <br /> Other ft. <br /> 14 . Will the tank(s) pending closure be replaced with an aboveground or underground storage tank (s) ? YES [ ] NON <br /> 15. Indicate the responsible party to be billed for additional EHD staff time expended beyond 3 hour minimum <br /> permit payment per tank. If the party designated below is different than the permit applicant, e . g . property <br /> owner, the party must acknowledge this responsibility for the billing by signature and date below. <br /> Spaulding Trust Property c/o Will Namnath <br /> Name <br /> Mailing Address _ 1434 Third Street, Suite D , Napa , CA 94581 <br /> Day ( 707 812-1426rf <br /> Sign ;;; <br /> EI-123046 ( Revised 7/26/2016 ) U <br />