COMPLIANCE INFO 1999 - 2001 - Laserfiche WebLink

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Rinsate Hauler: Company Name SL � r Phone: a3S- i3�t3 Address 2S'S' b..►r e�1� City Q_\o Zip �O$ a Transporter's ID# C_l)*,�) bock, yrle(e e. Sandblast Waste Hauler: Company Name Address L Facility ID Phone Treatment Storage Disposal Facility: �1_ State Facility ID Company name Address City Zip Confined space entry permit(s) in accordance with 29 CFR 1910.146 must be onsite at all times and available to the PHS-EHD inspector. Submit a complete third -party evaluation of the lining material and procedures as follows: a. A resume, including all applicable formal training experience, from personnel who conducted the evaluation (not necessary for Underwriters Laboratories). An affidavit from the company that received the third party evaluation confirming that there are no mutual financial interests between lining company and testing organization (not necessary for Underwriters Laboratories) c. A description of the testing organization's formal periodic inspections of the listed/certified materials and processes. (The purpose of the formal periodic inspections is to ensure that the listed/certified materials and process continue to comply with the lining/certification.) A copy of the voluntary consensus standard that was used during the evaluation or description of the equivalent test protocol, if a voluntary consensus standard was not used. The testing organization's raw field data. laboratory results, calculation, graphs, charts, etc. The conclusion of the testing organization's evaluation of the lining material. The conclusion of the testing organization's evaluation of the lining process. on the listing/certification, if any. A statement from the testing organization confirming that all equipment at the test site(s) was properly maintained and calibrated to the level of accuracy necessary for a valid evaluation.