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d Rinsate Hauler <br /> Company Name �I�jyc Phone: <br /> Address Cityzip <br /> I <br /> Transporters ID# <br /> e.+ Sandblast Waste Hauler: Facility ID <br /> Company Name N//� Phone <br /> Address City Zip <br /> f. Treatment Storage Disposal Facility: State Facility 10 <br /> Company name N/A4 Phone <br /> Address City Zip <br /> I <br /> 8. Confined space entry permit(s) in accordance with 29 CFR 1910.146 must be onsite at all times and <br /> mailable to the PHS-EHD inspector. <br /> 9. <br /> Sul bmit a complete third-party evaluation of the lining material and procedures as follows: <br /> Imo . A resume, including all applicable formal training experience, from personnel who conducted the <br /> evaluation (not necessary for Underwriters Laboratories). <br /> 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 /> r <br /> N'Ic. A description of the testing organization's formal periodic inspections of the listed/certified materials <br /> I and processes. (The purpose of the formal periodic inspections is to ensure that the listed/certified <br /> i materials and process continue to comply with the lining/certification.) <br /> 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 /> Nf. The conclusion of the testing organization's evaluation of the lining material. <br /> j.l,✓ g. The conclusion of the testing organization's evaluation of the lining process. <br /> hf h. Limitations on the listing/certification, if any. <br /> N 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 />