Laserfiche WebLink
10/17/2009 gg;80 2094683433 FIFTH FLOOR PAGE 04 <br /> (a) tr share a PR&M cowmactor's 4lwd aabcmtruttor's gaaguomuftq an me or anclas YES D NOW <br /> (bl Is Lbs gnat cart Marc of wozkdes,0mpessadon fsaraaee on tete? YES Ij No(j <br /> M Does the eontcwtor possess a"Rftnmk a awm aax=Romovu catttncatiw? Mk) NO l] <br /> (dl R=wyeryoae an site.inclndtAg Cranalbackhoo opa tor,Dean=Wed <br /> to work oa b>Aaardeus waste Rite id accordance with CM TiDa 8T YES M X0(S <br /> 2 Hasa.MUHath&Safetp P1 M"!or this fob site been sab=Med? WN No l l <br /> 9 Has a Mc%nt performbag MM*vad bn the City of?racy obtabted a`"ftw and Ea wngUoa Permit"? <br /> NMJJ ra f I IWO[I it nk Permit# <br /> 4_ Has th contracWr obtained approval from tha heal Ere daparia3ant to perform tank gatfbagT N*I yEV NCI] <br /> S Is there knowbsage or etidance of Ieaka go fim the taaXsl=&or pbplag? (if yes.pleosa M124 YU I I as p¢ <br /> 8. If tank residual exists,identify w=pordUCbazardans waste bawler: <br /> Name Sa<afe:Jtd stkll <br /> Address N \V <br /> ap <br /> Phone# , <br /> 7. Prwo tures: w u k,,"4.Q's SVS*3 T TL%P L.t:. Q• ru z c L <br /> 13y W Fi�tIrtYx GTi0 PLhkS V� &E x T M c-LDsL)rtJE oc T,awkS <br /> • a. WM l and Pi1+ftg be decaatUd=ted prion'to remandT YES J1 NO I) <br /> b. Identtfl coatiramr pe;farming deA LR t kfo Cow►P Lt'z TK 0 la`1 LA,v S i iL a tV G vLQ <br /> 0M -rr,-w► P G o�c�VtFc. 02-9.wv ,r <br /> Name <br /> Addresa� _ M <br /> Phone Nr, <br /> c. Deacrfbe method to he uAot,env deconxammaeioa. <br /> d_ Domm be laow rinsate ntatszW vW be xun*d onsite prior to mactestb W oiL*c N A, <br /> e. bi=te Hauler and pac ttad at;Storage&Dbaposai ixxoMT <br /> , <br /> Hauler Name HsnTer B etratboD <br /> Address C* abp <br /> Phone No. <br /> Permltted Disposal Site <br /> M 23 046 (Raviaed 0&13" pan 4 <br />