Laserfiche WebLink
-0 <br /> �0 <br /> is there a con(ractor's questionnaire on file? NA } } YES NO r } <br /> a) IS the questionnaire enclosed? YES } } NO �} <br /> b) to the current certl(Icate of worker's compensation insurance on file? YES NO } } <br /> c) Does contractor possess a `hazardous Substance Removal Actions Cert "7 NA ( ] YES J4 NO 11 <br /> 2 JIBS a 03116 Health & Safety Pian' for this job site been Submitted? YES pcj NO ( } <br /> a) USA underground utilities will be notified prior to excavation. <br /> 3 Ila& applicant performing removal in the City of Tracy obtained a `Grading and hxcavattun Permit'? <br /> NIA I# YES I } NO j I If'YES, Pennit # - <br /> 4 [lave tan (s) or piping pending removal leaked In the past? YES� NO } } <br /> Unkn wn <br /> S What will be the disposition of the lank(s)lpiping? <br /> 11 r t ec ose of- <br /> 6 llas the contractor obtained approval from the local fire department to perforin tank cutting? NAI } YESW NO} } <br /> Deconteminallon Procedures: <br /> tr Identify contractor perfarniln� decontant lnallou <br /> Nama Arn Thorpe Oil Irtc. d.b.a. R ic.h- Mart Cutts t roc t i on <br /> Address351 N- Beckman Rd fV po x, City Loa IZilr '35'T' <br /> Phone No( ) <br /> b Will lank(s) and piping be decontaminated? YES }x} NO } <br /> C. Descrlbe method used to clean Iank(s) and/orpiping (tf not irr concractoes fife), <br /> Tire tank (a) and associated piping will be Lriple ritised on site by <br /> c - r ons Cleaning proc rare will consist of Efiree <br /> t^ nses w1th seam or o a er, nsa a proce ure s on file :n YoUr o c <br /> t! descrlbe how rinsale material will be stored on site prior to manifestlag offshe- <br /> Ringate will he removed Craw the Lank (4) nil I Bich-Mar_L <br /> canaf„riu t_ inIl-Hazardous 1Wst_F_-_fiat. lax- 11 ul.Px--igglai. 11Cd"1jUJwr_., _2Ftfi7 <br /> Thr efusat e yg mrteci l,y us to 011r yard <br /> ._ at- prat-bSauionrl...Wav Lull , Ca. EVA..CAI. .I)0()012B 4- � T <br /> 8 Slate Regislered Hazardous Waste I iaulers and i-erndtled Disposal Facilities <br /> a Residual/ltazsrdous Waste flauter <br /> Nanta -Caj_0jj p jjgyt?:, .ojj haulers <br /> Address Po Bx fif+5 - --- - -- -- - - _�. <br /> Clly Dear. C 3 6 Stale Zip <br /> Phone NQ L900_ ) 332-87 10 llattler Reglstrnllon #CRD 9824 17255 <br /> b. Eventual disposal of rinseate may be fiefarreies Service 13331 N. Hwy. 33 <br /> Paterson, Ca. 95363 or other approved disposal facility. <br /> Page 4 <br />