Laserfiche WebLink
10/17/2006 09.00 2094683433 FIFTH FLUOR <br /> PAS 04 <br /> �- (a) t there a BSS-$HD contractor's and=,4"mtractae;s guest OML-drq ou me or enetnsed? <br /> ON 13 the Mirreat certificara of xmrger's tompeasaidon tttsmmee an Me? YES�� NO Id <br /> YES <br /> (0) Does the eanftecor possess a"Hasardm Sabstum UMCVai Cc4LCkstt4n 2 vas k] NQ <br /> (d) Hae everyone on site.Rncludibg cmusihackhoe operatar,bgOM certified ss ] Not)f <br /> to wo7k ob ltasard"3 araste alte iu accordance with CCA Title SP <br /> YES k1 lea[i <br /> 2 Bas a weUH08M&Safe[Y Placa"for this Job site been submftted7 YES M Nall <br /> 2- gas airpilcant performing mmovsi in the City of Tracy obtaibed a eGri " <br /> YrS 'andvatlaa Pexmlt ? <br /> N1A <br /> �� f 1 NQ t i if YES, Permit dr <br /> +1. Has Se dontraetar obtained approval Aram the 10eal lira department to perform tank ca <br /> tthe HAS l YESkI Nq l <br /> 5 is there latowledge or evidence of 168"D frnm the t 3)anNor piplizg? (V Yea,pie explain) <br /> 6. If tank residual gdsts,IdebtFj!y trartaporting hazardous waste bawler: <br /> Name <br /> Her R�'atlou P _ <br /> Address Clay <br /> p <br /> Phone# <br /> 7. Deeencstminatlon Prncedurea' -VNw1t S '�ti cs +C`2 �.R 4 jEjE,f.s T rL%P L K CZ� "c v p <br /> S4 SCF, -rV m CL-o=-caQ F, OM -r&wkS <br /> a. wM )and piping be decontaminated prior to removal? YS$pi NO[) <br /> b. Identil';q coatrsetor performing&Cantazalaatfom ALZ t kv l w t i lE R,tV <br /> Name o N `P'rr,^ A G�a�c��.e� ��,�trn- t C" <br /> AQttsess City ZIP— <br /> Phone Nt - <br /> c. ])ascribe method to h""'wad for decotltam MadolL � � A <br /> d. <br /> no-eribe how donate nwieriat VM be stared onsite pylar to manUestisg on*& <br /> e !'hmte Vanier and putted Treatment,Storage&Disposal#Xd tr <br /> r <br /> Hauler Name hauler Aagle and a P <br /> Address C <br /> ?hung No <br /> Permittee Disppsal Site <br /> IN 23048 (Revised OVI3199) Pa984 <br />