Laserfiche WebLink
Aug 14 02 09: 15a Elite Iv Contractors Inc 2094616342 Lp. 2 <br /> US-T-S-YSTE'M-RETROFM- OR-REPAiR------— =G <br /> (Submit minimum <br /> of 2 sets of plans&applications as originals will be retained by EHE)) <br /> I. Site map enclosed YES> NO (] <br /> 2. Manufacturer's spec sheets attached for all equipment to be installed YES O[] <br /> 3. Description of work to be conpteted-(tf add <br /> u the U T Installation,4pplication pages as necessary for timely <br /> - tfipmert, or performing tank top upgrade, <br /> rY a ely plan review <br /> Lacy I� icl 4( y� <br /> 4. D a quip ent o e s ria ue e n r`� E(�l` z r�'�� t� c-n r<-J <br /> ectv_sr u. <br /> 1 q p3 -� <br /> 5_ Alit e�, ur men s ate ce ed or approved:YES NO �' ��},0y-G Oy •�-��kj- tn� '�C12} ✓1t�d{, (/ /� <br /> 6. Decont minae 1�{�OC <br /> a_ Will piping be decontaminated prior to remo�et? ��l"='��` <br /> t. <br /> b. Identify contractor performing decontamination: YES[ ' Nom, �, <br /> Name <br /> Address Phone(___) <br /> City Zp <br /> c. Describe method to be used for decontamination_ <br /> d- Describe how rinsate materiat will be stored onsite prior to manifesting offsite; <br /> e- RUMS-ate Hauler and permitted Tneatrnent, Storage&Disposal Facility- <br /> Hauler <br /> Name Phone <br /> Address L, Hauler Reg#. <br /> Permitted Disposal Site city �Zip <br /> 7. a- Describe the method that will be utilized to purge andlor inert the piping: <br /> b. PiPing Hauler. <br /> Narne <br /> Address Phone(,) <br /> Mariner Registranon 9(if hauled as hazardous) city zip <br /> c. Piping Disposal Site: <br /> Name <br /> Address Phone�) <br /> EPA 1D#ff transported to a permitted TSD facirdy) city. Zip <br /> - <br /> 8- Is the samprrng firm an independent third party from the contractor? YES[) NO <br /> 9. Describe, in detail,how the soil and/or water sample(s)beneath the piping or dispenser win be obtained: <br /> 10. Handling of excavated soil(Confaminated'Soil Hazardous Waste Hauler): <br /> Name Hauler Registration# <br /> Address Phone <br /> City Zip <br /> b) If soil is not to be hauled,describe what will be done with it <br /> 2 <br />