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9255517899 Line 1 0" ':36 p.m. 11-04-2010 5/13 <br /> c. Tank/Piping Disposal Site: <br /> Name CLEANHARBORS BUTTON WILLOW, LLC <br /> Address 2500 W. LOKERN ROAD City BUTTONWILLOW Zip 93206 <br /> Phone No.(661 )762.6200 <br /> EPA ID#(if transported to a permitted TSD facility)CAD980675276 <br /> 9. Is the sampling firm an independent third party from the contractor (REQUIRED)? YES(1� 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 /> N/A <br /> b)What will be the final destination of the excavated stockpile? <br /> CLEAN HARBORS ENVIRONMENTAL <br /> c) Contaminated Soil Hazardous Waste Hauler: <br /> Name NIETO AND SONS TRUCKING INC. Hauler Registration#0503 <br /> Address 1281 BREA CANYON ROAD City BREA Zip 92821 <br /> Phone Number(714 )990-6855 <br /> 12. What is the depth to groundwater? DEPTH TO GROUNDWATER IS APPROX. 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)? YESV 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 Number 5 551.7555 <br /> PROJECT MANAGER G <br /> Signature Title to <br /> EH 23 046 (Revised 07/22/10) 5 <br />