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Apr-23-98 10: 20A GHH Er inaering Inc P•02 <br /> *ft% . <br /> 1. (a) 15 there a PHS-EHD contractor's questionnaire on rile or enclosed:' YES :kJ NO I J <br /> (b) Is the current certificate of worker's compensation insurance on rile? YES}: NO I J <br /> (c) Does the contractor possess a "Hazardous Substance Removal Certification"? YES?Of NO I I <br /> (d) Has everyone on site, including crane/backhoe operator, been certified <br /> to work on hazardnus waste site in accordance with CCR Title 8'. YES#'J NO I J <br /> 2. Has a "Site Health do Safety Plan" for this job site been submitted? YES" NO 1 1 <br /> 3. alas applicant performing removal in the City of Tracy obtained a "Grading and Excavation Permit"" <br /> N/A 1I YES ( J NO 1 I If YES, Pcrmit a <br /> 4. Has the contractor obtained approval from the local fire department to perform tank cutting? N,%A YES[ J NOS I <br /> 5. 15 there knowledge or evidence of leakage from the task(S) and/or piping.? (If yes, please explain) YES 1 I NO P <br /> 6. If tank residual exists, identify transporting hazardous waste hauler. <br /> Name_ REIMS Envirorvental Services Hauler Registration #0518 <br /> Address1515 South River Road CityW. Sacramento Zip 95691 _ <br /> Phone 4 ( 916_,.,_) 371-5747 _ <br /> 7. Decontamination Procedures: <br /> a. Will tank(s) and piping be decontaminated prior to removal? YES (Ki NO [ [ <br /> b. Identify contractor performing decontamination: <br /> Name RaMS Envirorunental Services <br /> Address 1515 South River Road Cit)W. Sacramento Zip95691 _ <br /> Phone Nu.( 916 _)_ 371-9747 <br /> C. Describe method to be used for decontamination: <br /> Triple rinsing <br /> d. Describe bow rinsate material will be stored onsite prior to manifesting offsite: <br /> Will riot be, stored ort-site, will be rOnvoed by the varuum trur-tc_ <br /> e. Rinsate Hauler and permitted Treatment, Storage & Disposal Facility: <br /> Hauler Name R�>s Environmental Services _ Hauler Registration #9518 _ <br /> Address 1515 South River Road CityW_Sacramento_ Zip 95691 <br /> Phone Nu. (Sl_, �7t_S7d7 <br /> Permitted Disposal Site <br /> 5/20 .. __. <br /> FH 2-3046 (nevi+cd 9/11196) Page 4 <br />