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i (3) fs there a PHS•EHD oentractor's and sobecuum=r'9 questionaaire an Rle or enclosed? YES;q NO I 1 <br /> (b) is the current cerdffcate at wot tea's eaapansatlna lnsnrance as tile? YES X No[] <br /> (e) Does the contractor possess a'Hazatduss Substance Removal Cartiffeatlon"? YES Na[j <br /> (d) Has svertone an sit*,ineindfng crwwbad thce ollerate„been csrdfled YES NO 11 <br /> to work all harardous waste site is acordanct with CCH Tit.-31 <br /> 2 Han a 'Site Health 4 3afetp Plan"to this lob site been submi%ed? YES NO[] <br /> Hag apyll:aar patdtmin;renwoal hi the aty at Tracy obtained a"Grading and°..acavatt0n Permit"? <br /> Ni YES(] ND[] it 725. Permit! <br /> 1 Has the eantracur obtalmd approval tram the local fire department to perfatsn tank cutting?VXUS[1 ND(] <br /> u, is re i aawledge or eddetme of le from W e tan!i(3)s:dor pipllag'i (It yes.Please a:plata]Yr5I I N0;K <br /> 61 if tank residual oldsta,identify iranspertlai hazardous waste hauler. <br /> Nams <br /> NORCAL Waste Oil Haulers Reuterdegutratinn0 CAD 982417255 <br /> Address P.O. Box 645 iyry Denair , CA Zp 95316 <br /> Phan*800) 322-8710 <br /> r Decrntammation PrMdurest <br /> a. WjU tanks)and piping be lecooLuminited prior to remov'A? YES(k YO't 1 <br /> b. identity,contractor performing deceataminacam <br /> Name Jim Thorpe Oil , Inc. <br /> 9Adresa P.O. Box 357 Clty Lodi , CA Zip 95241-0357 <br /> Phone NO 2{�9 ) 368-6175 <br /> e. Describe method to be uad for deeans1=1 adent <br /> T n n k ( 1 c i 11 ha tr,ipl a i Gari a cc P <br /> dAnp4B the <br /> manner. <br /> d, Desebe haw rtasate materialvAli be stored ansate prior m manlfeatlag offsite: <br /> Rinseate will either be removed from the tank(s) and l nesas <br /> thev are being rinsed <br /> truck, or be stored in sealed drums until it can be disposed of. <br /> e Hinaate Hauler and perntittad Treatment.Stange&Disposal Faemr.. <br /> Hamer None Same as #6 Hader He([t%^'wan <br /> Add:esu Ott? zlp <br /> PboaeNo.f ) <br /> Permitted Disposal Site <br /> Americlean , Inc. 2570 Almond Dr. Silver Springs, <br /> NV. or other approved facility. <br /> FH 23 ante (ReviSed UAI19!99) Page 4 <br />