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3 <br /> F <br /> r <br /> L OFFICE of THE DEPUTY DIRECTOR <br /> P. v. 4CC 85261 <br /> SAN DIEM, CA 92186-5261 <br /> DEPARTMENT OF HEALTH SERVICES (619) 318-22.22 <br /> ENVIRONMENTAL HEALTH SERVICES Fax f; 338-23TT <br /> SITE ASSESSMENT AND MITIGATION DIVISION <br /> P.O. BOX 85261. <br /> SAN DIEGO, CA 92186-5261 <br /> May 25 , 1993 <br /> INNOVATIVE TREATMENT PRODUCT/METHOD QUESTIONNAIRE <br /> Product composition <br /> 1 . What is the composition of the product which you propose to <br /> use to treat contaminated soil/water? Submit a Material Safety <br /> Data Sheet and list of ingredients. <br /> 2 . Where does the product come from and how is it manufactured? <br /> Submit the name and phone number of manufacturer. <br /> 3 . Is the product used in other industries for purposes other <br /> than the use you propose? <br /> Mode of Action <br /> 1 . How does the product/method work to treat the contaminant(s) ? <br /> Describe the chenical/physical processes in detail. <br /> 2 . What are actual and potential by-products of the reaction <br /> between your product and the contaminant? <br /> Proof of the Effectiveness of Product/Method <br /> 1 . Submit data documenting the effectiveness of the <br /> product/method for treating the contaminants of concern. <br /> Treatment is defined as the ability of the product/method to <br /> reduce or renove the toxicity, mobility, or hazard of the <br /> contaminants. <br /> Such data must include a comparison of the treatment <br /> effectiveness of the proposed product to the treatment <br /> effectiveness of controls. Controls are equal volumes of <br /> similarly contaminated soil (same contaminant type and <br /> concentration) to which the proposed treatment product is not <br /> added (instead, an inert substance is added) but are otherwise <br /> handled in exactly the same manner as contaminated soil to <br /> which the treatment product has been added. For example, if 20 <br /> lbs, of a treatment product is mixed into a volume of <br /> contaminated soil, then 20 lbs. of an inert material (e.g. , <br /> silica sand, water, etc. ) is mixed into an equal volume of <br /> similarly contaminated soil. A comparison of the analytical <br /> results of the control samples and the samples treated with <br /> • the proposed treatment product will indicate the of fectiveness <br />