Laserfiche WebLink
SAN10 A Q U I N Environmental Health Department <br /> COUNTY — ( G ; ;� - ' <br /> k �• 4� r li i <br /> c . Describe method to be used for decontamination : <br /> JUi\ '1 a M20 <br /> d . Describe how rinsate material will be stored onsite prior to manifesting offsitENVIRON MENTAL HEALTH <br /> DEPARTMENT <br /> e . Rinsate Hauler and permitted Treatment , Storage & Disposal Facility : <br /> Hauler Name Phone (_) auler Reg# <br /> Address City Zip <br /> Permitted Disposal Site <br /> 6 . a . Describe the method that will be utilized to purge and/or inert /e e piping : <br /> b . Piping Hauler : N / <br /> Name Phone �) <br /> Address City Zip <br /> Hauler Registration # ( if hauled as ha ous) <br /> c . Piping Disposal Site : <br /> Name Phone (....) <br /> Address City Zip <br /> EPA ID# ( if transported to a permitted TSD facility) <br /> 7 . Is the sampling firm an independent th ' party from the contractor? YES [ ] NO [ ] <br /> a . Identify sampling firm : <br /> Name Phone( <br /> Address City Zip <br /> b . Identify laboratory perforIng analysis : <br /> Name Phone (� <br /> Address City Zip <br /> 8 . Describe , in detail , h the soil and/or water sample (s ) beneath the piping or dispenser will be obtained : <br /> 9 . a . Handling f excavated soil (Contaminated Soil Hazardous Waste Hauler) : <br /> Name Hauler Registration # Phone (� <br /> Ad ®r ss City Zip <br /> b . If soil is not to be hauled , describe what will be done with it : <br /> 4of6 <br />