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I. (a) Is there R PIIS-RIII)coubaclor's questionnalre oo file or enclosed? YRS 1X1 NO I <br /> (b) Is file cotreot celtificale of worker's colopellsaliou insomice on file? YRS 1311 NO I <br /> (c) Does file conllaclor possess a "Ilazardous Substance Removal Cellificatlon?" YRS IM NO I I <br /> 2. If as A "Slee IIealIII &Safety flan" for this lob site becit sobmilled? YRS 13q NO <br /> 3, Iles applicallt pelfotming removal Irl file City of Tracy oblailled a "OrArling Rod Rxcavaliorl Pemlll"? <br /> NIA IX I YRS I I NO I I If YRS, Pelndl M <br /> 4. Ilas coolraclor oblained approval from Ike local fire departmall to perform lank tolling? NA IXI YRS I I NO I I <br /> 5, Is then knowledge or evidence of leakage from the lank(s) and/or piping? (If yes, please explain) YRS I I NOA <br /> 6. If laok residual exists, identify Iraosporling hazardous waste hauler: <br /> Name: Nor-CRI Waste Oil haulers Ilauler Regislralion M: CAD 982417255 <br /> Address: P.O. Box 645 City: Denali, CA Zip: 95316 <br /> Phone: (209) 332-8710 <br /> 7. Decoolan oadoo Ptocedutes: <br /> A. Will lanko s)and piping be deconfaminaled prior bt removal? YRS 1X1 NO I I <br /> It. Identify contractor perfolodng decoo(anlinat ion: <br /> Name: Jin,7 horpe Oil Co., hic. <br /> Address: 351 N. Beckman Road/ P.O. Box 357 City: Lodl, CA Zip: 95241-035 <br /> Phone No. J209) 462-4581 or (209)_368-6175 <br /> C. Describe method lu be used for decoolamioation: <br /> Tanks and piping will be It Iple rinsed with loll water And biodegradable soap 8011,11011. <br /> d. Describe how tinsale material will be stored ou-site prior to maoifestblg off-site: <br /> I Ile Ansate will lie removed by.lhn 'Thorpe Oil, hlc., personnel and he placed h,drums. The <br /> drums will lie fabled and slm ed on site Awaiting pick op for disposal Al it proper disposal <br /> fadllly, <br /> e. Rosate Ilauler and petmilled Ticao1,enl, Storage & Disposal facility: <br /> Ilauler Name: Same as No. 6 1hiller Registration M: <br /> Address: City: Zip: <br /> r <br /> Phone No. <br /> Perndlled Disposal Site: Reflociles Services,l'allerson, CA, or other Approved faclllly. <br /> Page 4 <br />