Laserfiche WebLink
Jan 28 08 04: 06p Eli* Iv Contractors Inc 20946] '42 p. 2 <br /> UST SYSTEM RETROFIT OR REPAIR <br /> (Submit minimum of 2 sets of plans&applications as originals Will be retained by EHD) <br /> k\ . Site map enclosed YES[] NO[] <br /> \\ <br /> \1 � 2 Manadadurers spec sheets attached for an equipment to be installed YES[] NO[] <br /> �V\ 3. Description of work to be completed(If addlnq pip'vig.UDC's,or other UST equipment, or performing tank top upgrade, <br /> ��� the UST <br /> installation Application pages 4-8 as necessary for a timely plan review): <br /> - 4- <br /> 4. Description of equipment to be used(Attach drawirgsiblueprinas necessary): _ ? <br /> SAA cquira�ait a State verified of approved.t YES(] 0J`� <br /> y, l �o, 6. Decontamination Procedures: P' <br /> i vv�(1� a.VAU piping be dominated prior to removal? YES[]. NO[] <br /> J :J b. Identify contractor perfomdng decontamination: <br /> Name Phone) <br /> Address City _ Zp <br /> c Describe method to be used for decartamination: <br /> d. Describe taw rinsate material will be stored onsite prior to manifesting Offsite- <br /> e. f fate Hauler and permitted Treatment,Storage&Disposal Facility: <br /> Hauler Name Phonae(_ I. Hauler Reg# <br /> Address Cly fP <br /> Permitted Disposal Site <br /> 7. a_ Describe the method that will be utilized to purge andlor inert the piping: <br /> b.Piping Hauler. <br /> Name Plane <br /> Addoess City zip <br /> lHadler Registration V(d hauled as hazardous) <br /> c. Piping Disposal Site: <br /> Name Phone(� <br /> Address City zip <br /> - <br /> EPA IDC(d transported to a permitted TSD facffiW <br /> a. Is the sampling firm an independent third party from the con tractDr?YES[I NO[] <br /> 9. Describe,in detail,how the sol and/or water sample(s)beneath the piping or dispenser will be obtained: <br /> 10. Handbag of excavated sol(Contemmated Sol Hazardous Waste Harder): <br /> -. Name _..._.------- ---- NaularRegiishation4 Phone(_] <br /> Address city Zip <br /> b) If sol is not to be hauled,describe what will be done with it <br /> 2 <br />