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1. (a) Is mere a PH&M dontrAdar's uad" Dtr " a an die at encteeedt4,0011 <br /> (b) is the eurrent eerd ieato at oes tom on metimm im blot No[) <br /> (e) Does the con A'Hatudods lobahM botid tettibeAtion't t88 O[[ <br /> (d) Has everyone on alto,hicludbig aratialbiekhod o0aratot,baw ee ed <br /> to work an hmrdous waid do hi meorilanea Mrtth 009 fids 8t NO 11 <br /> 2. Has a"Sits Health& ety Mail tar this job site been imbfidtladt No[[ <br /> 3. Hascant performing removal In the dtf of Tftq obtabiad i'Grift Aad ati Po t"t <br /> tip <br /> NIA (I NO(I it TM Permit 0 <br /> 4. Has the eontraeter obtafted s al hem the loW tki depatiadfit to Podoini ftdA fififthigt Kq 1 IES[1 N <br /> S. is there knowledge or evidenee at leakags from the 6)aadlat 140109f (it ies►016M explain)ISA I 1 No M' <br /> e. It tank residual exists.Identify transporting hasardout Wide ba <br /> Name ��. . �,. l'• u ► trier Ae tion d Ott ISS <br /> Ad lm ®� tr .City Zip <br /> Phonefl� 3 y <br /> 7. Decontamination <br /> a. Will s)and plping be dedontandaAW of to t6niftilt N®[1 <br /> b. identity mfteW pettorminj doWnteAlUddik <br /> Name b�tn<old 11f�I��t11�A��� S�SIt��SLl.tit" A <br /> Addmo Pn f ,,:, -) w) tlty No <br /> phone No( ® ) °� fon-2:'-�� <br /> e. Describe method to be used for doeonumbifitiot <br /> s <br /> 7 <br /> d. Describe how dwiste matedid be Atered o6did prior if RMUNfilij Otteitit. <br /> 13 <br /> € x 'uA f 11 <br /> r w i T <br /> e. Rhnta Met AM pmftd lWatifiblit NOW1► htt <br /> Rawer N � ' rt1 t` i f k , ott QO 'S/ <br /> Ad t f 1 i �v _ MY d <br /> Phone No. t _} o —3 <br /> Permitted Slte_VA=-a.w�L..u � <br /> 99 23 046 (Revised loll L S t' S r` ago ` I <br />