supplemental application information / San Diego APCD Use Only
Fee Schedule / Appl. No.:
52B - Form B / ID No.:

SOIL REMEDIATION - POST EXCAVATION PROCESS

• Submit this form in addition to Form A.

• In lieu of completing this form, the APCD will accept copies of your SA/M Work Plan including the following:

Drilling reports

Monitoring well permit applications

Detailed as-built site plan

Contaminated concentration

Detailed boring logs as required

A work plan is required under authority of Article 11 of the California Code of Regulations, Title 23. Work plans must be prepared in accordance to the most recent Site Assessment and Mitigation SA/M manual.

• Please type or print the information requested below.

1. Contaminated Soil Storage:

Stockpile Configuration:

Number: Volume/Pile: Cubic Yards

Dimensions: ft, m Wide by ft, m Long by ft, m High

Other Configuration:

Total Volume to be Treated: Cubic Yards

Measures to Prevent Direct Emissions to Atmosphere (covers, etc.):

Storage Layout/Drawings Attached

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