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C. Tank/Piping Disposal Site: <br /> Name VASCO ROAD LANDFILL <br /> Address 4001 N VASCO ROAD City LIVERMORE Zip 94551 <br /> Phone No.(925 )447-0491 <br /> EPA ID#(if transported to a permitted TSD facility) <br /> 9. Is the sampling firm an independent third party from the contractor (REQUIRED)? YES NO[] <br /> 9a. Describe, in detail,how the soil and/or water sample(s)beneath the tank and piping will be obtained: <br /> DRIVE A 1 1/2 X 6"BRASS INTO THE NATIVE SOIL <br /> REMOVE&CAP BOTH ENDS LABELS&STORE IN COOLER WITH ICE <br /> 10. Describe how the excavation will be backfilled with suitable material upon removal: <br /> BACK FILL WITH CLASS II AGGREGATE BASE WITH <br /> 90%COMPACTION OR PEA GRAVEL <br /> 11. Handling of excavated soil: <br /> a)What material will be used to line the tank pit and cover the stockpile? <br /> Tvpar roll Filter Fabric to line the tank pit and visqueen to cover the stockpile <br /> b)What will be the final destination of the excavated stockpile? <br /> Forward Landfill Republic Services <br /> c)Contaminated Soil Hazardous Waste Hauler: <br /> Name Belshire Env svc, Inc Hauler Registration#2997 <br /> Address 25971 Towne Centre Drive City Foothill Ranch Zip 92692 <br /> Phone Number(949 )460-5200 <br /> 12. What is the depth to groundwater? DEPTH TO GROUNDWATER IS APPROK 10 FT.ACCORDING TO SECOR'S <br /> Describe the source of information:QUARTERLY MONITORING REPORT. <br /> 13. Are there any water wells on this parcel or adjacent properties? YES [] NOV <br /> TYPE OF WELLS DISTANCE TO TANKS(S) <br /> Public Well ft. <br /> Private Well ft. <br /> Irrigation Well ft. <br /> Monitoring Well ft. <br /> Other ft. <br /> 14. Will the tank(s)pending closure be replaced with an aboveground or underground storage tank(s)? YES[( NO[] <br /> 15. Indicate the responsible party to be billed for additional EHD staff time expended beyond 3 hour minimum <br /> permit payment per tank. If the party designated below is different than the permit applicant, e.g. property <br /> owner,the party must acknowledge this responsibility for the billing by signature and date below. <br /> Name GETTLER-RYAN INC <br /> Mailing Address 6747 SIERRA CT.#J. DUBLIN, CA 94568 <br /> Day Phone Nu er 5 551 7555 <br /> PROJECT MANAGER <br /> Signatur Title Date <br /> EH 23 046 (Revised 07 /10) 5 <br />