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Rinsate Hauler: <br />Company Name <br />Address/20 ` I ?r 721�6 _Cityl,*.ewlZip �75� 7� i <br />Transporter's ID# <br />Sandblast Waste Hauler: Facility <br />Facility ID <br />Company Name N Phone_ <br />Address City Zip <br />Treatment Storage Disposal Facility: State Facility ID <br />Company name 1 Phone <br />Address City Zip <br />Confined space entry permit(s) in accordance with 29 CFR 1910.146 must be onsite at all times and <br />available to the PHS-EHD inspector. <br />Submit a complete third -party evaluation of the lining material and procedures as follows: <br />_a. A resume, including all applicable formal training experience, from personnel who conducted the <br />evaluation (not necessary for Underwriters Laboratories). <br />_b. An affidavit from the company that received the third party evaluation confirming that there are no <br />mutual financial interests between lining company and testing organization (not necessary for <br />Underwriters Laboratories) <br />_c. A description of the testing organization's formal periodic inspections of the listed/certified materials <br />and processes. (The purpose of the formal periodic inspections is to ensure that the listed/certified <br />materials and process continue to comply with the lining/certification.) <br />_d. A copy of the voluntary consensus standard that was used during the evaluation or description of <br />the equivalent test protocol, if a voluntary consensus standard was not used. <br />_e. The testing organization's raw field data. laboratory results, calculation, graphs, charts, etc. <br />_f. The conclusion of the testing organization's evaluation of the lining material. <br />_g. The conclusion of the testing organization's evaluation of the lining process_ <br />h. Limitations on the listing/certification, if any. <br />_i. A statement from the testing organization confirming that all equipment at the test site(s) was <br />properly maintained and calibrated to the level of accuracy necessary for a valid evaluation. <br />