Laserfiche WebLink
1. Is there a contractor's questionnaire on file? NA [ ] YES [] NO �] <br /> a) ' ' Is the questionnaire enclosed? YES ]. NO [ ] <br /> b) Is the current certificate of worker's compensation insurance on file? YES ] NO [ J <br /> c) Does contractorpossess a "Hazardous Substance Removal Actions Cert."? NA [ ] YES [ NO [ ] <br /> 2 Has a "Site Health & Safety Plan" for this job site been submitted? YES NO ( ] <br /> 3. Has applicant performing removal in the City of Tracy obtained a "Grading and Excavation Permit"? <br /> N/A [i YES [] NO [] If YES, Permit # <br /> 4. Have tank(s) or piping pending removal leaked in the past? YES [] NO [ ] <br /> [INKbJQWN <br /> 5. What will be the disposition of the tank(s)/piping? <br /> TANKS WI11 RF TRANSPORTED in H- & H BVIMFNTAI FOR nESTRIICTION <br /> 6. Has the contractor obtained approval from the local fire department to perform tank cutting? NA[)4 YES[ ] NO( ] <br /> 7. Decontamination Procedures: <br /> a. Identify contractor performing decontamination <br /> Name HEss & HSS ('nNSTRurTtnN,. TNr . <br /> Address ZQ1Q P, City <br /> TOV—_ Zip 5 <br /> Phone No.( �– <br /> b. Will tank(s) and piping be decontaminated? YES ( ] NO [ ] <br /> C. Describe method used to clean tank(s) and/or piping (If not in contractor's file): <br /> SFF WnRK PI AUXI nS11RF PIAN , SFCTinN 3 . 1 <br /> d. Describe how rinsate material will be stored on site prior to manifesting offsite: <br /> N/A <br /> 8. State Registered Hazardous Waste Haulers and Permitted Disposal Facilities. <br /> a. Residual/Hazardous Waste Hauler <br /> Name_ RAMos ®I,_ T)T STR i RuTnR S <br /> Address—_ <br /> -- SnIITN RIVER ROAD <br /> City WFST SACRAMMin State—CA Zip 956g1 <br /> Phone No. ( Q1 6i ) 371 —2�7(� Hauler Re;istration <br /> Page 4 <br />