Laserfiche WebLink
Ls there a c:ontractoes questionnaire on file? NA [ YFS� NO f 1 <br /> a) Ls the questionnaire enclosed? YES NO [ <br /> b) Is the current cesuficate of worker's compensation insurance on tile? YES O f 1 <br /> C) Does contractor possess a `Hazardous substance Removal Actions Gert'' NA j ; YES NO <br /> -. Has a 'Site Health & Sastery Plan' for thus lob site been suomitted? yE3 [ l <br /> a Has applicant performing removal m the City of Trac-+ obtained a 'Grading and Excavation Permit" <br /> N/A YES [ j NOX If YES, Permit 3- 1 <br /> 4 Have tankpiping <br /> �s) or P F g removal leaked in the pasty (If Yes, list tank ) 'yF NOx <br /> What will be the dispositioo e tanks)/piping? <br /> 10 <br /> z 7 � ^ �� <br />' S Has the contractor obtained approval from the local fire deoartmeat to perform tank cutting? NA[ ] YES[ ] N <br /> 7 Decontamination Procedures: <br /> a Identify contractor performing decontamination <br /> Name <br /> Address 7 <br /> �CAY <br /> Phone No ( �' <br /> b Will tank(s) and piping be decontaminated? YES NO j <br /> C. Describe method used taalc(s) and/or prptng (If act in coaaacLor's Meb l VG �l. 21 ,3�`O GJ1T12L.SSUL2L l,J p�$sc <br /> 1 T 1-1rd0op JV 7N <br /> u1%Tyh wSliz 0 E A r C r-, C aQ <br /> Zct T�--n Lit t-SaL, IS ,A7 csu`�. <br /> d. Describe hQQw ansate material wtli be stored on site pnor to manifesting offsite: <br /> u 1C. US+AT` l lL C LJ-Lt=T (,)k LL <br /> cu , R0 1S KI U <br /> 8. State Registered Hazardous Waste Haul=and Permitted Disposal Facilities. <br /> a. Residual/Hirardous Waste Hauler <br /> Name ()CS I UC . <br /> Address L-� <br /> city z Uo state Zip "7ZZ <br /> Phone No. o r Hauler Registration # 1143 <br /> Disposal SIte 1 0l) L (L5H C-� NI <br />