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FROM :' FAX NO. un. 04 2008 12:33PM P4 <br /> Jun 03 "A 03-24p Rrl..IAR_E PETROLF_Lj'Pn SERVIC P.6 <br /> mw/ <br /> Q5�2B/l0,?$ xHU U;SL FAX 2094585433 SJC SMC p.6 <br /> Me 19 CS 03,01p. REL ABLE PE1'ROLEUr.' SERAC 20064.38953 <br /> UST SYSTEM RETROFIT OR REPAIR <br /> (Suhr;it ;�;rrl14m of 2 sets of pans a&WIicmtiar;S ss origirtah will be retained by E1 t10) <br /> 1, Site map enclosed YES[? 40 <br /> 2, f• mActuier's spw sheets sttechea for all equpme3nt to Per tf►stJVWYES,q NO(1 <br /> 3, p;lpir•g. UDC's,ar Rthe-t.ST equip mm',or pefto ing_rvEc tap upq <br /> vae the UST{ .�Wation AAa>'isativr:pages 443 as nec�r:�sAry r a timay Plan reaitwimdL <br /> - <br /> �sr r v W w.,z� sl ..��,.�. 'oJ�1+"l� j_ !c yJ► p <br /> I- t _�,I^M,�1Gk'laGleS..L'��C..S:LId!.._ zr . ._�- /': •� -�...�. .`._ '�"_"°S� <br /> �. oesc ahmn of equipment to be used(Attach dw.'rasibl;ipwrills a.ne:j9swy): <br /> 8. <br /> All ecf:lpmentis State certftiivi,fir ep,rrover. YES { hiG <br /> 0. Dewntmination Prtweduries: h114 <br /> s. YU'd1 piFN De decor±t minatea prier to+zmoasi'% YES`1 N0 I l <br /> b. (cientifj Cor:ractor pertomnin fit decortaminaliolZ <br /> Aodresa _..._._._ . - - .._. _.._.�._,._ _ .�._. _._ �. City.__7P..»....� <br /> c, Oesc;6e method M be wed t'or decontamir>rdion: <br /> Q, DeR.Criba how r:nw!e rmteriat:wiI{CM7 stor*d c!'i it's.j:-1c le-7 r<r:1asting <br /> s. MnsaRe Haulw enc Nermiflud TriMune+;t,Storage&DMowg Fai:My: <br /> Hauler N3rr1e --Phone(.,., ie. <br /> Addmsse_...._.. _,.. - -. City ZIP.—. .........._ <br /> P�rrnittgq I;1i8p0 ai ufie <br /> ?, a, _-V9cri"na rkethod that w;il be vtftma to pur ea.cU r i.eerl-,ie r:yvj,, rir <br /> b. Piping Ramer: <br /> Acickesm Cihk__.. ....___ ._.. ._._ ZP. <br /> H"lop lu jictratiOrt P,If?*Uie4 ne hagz r'dou3) <br /> a. P.Ping Ctsposal Site: <br /> ?Meme PlwntH <br /> Addrew <br /> EPA 104(if tr ,r,"tted to ae porn rtW'Car} <br /> 8, Is the s fern an in m.dent third t>a fron,,the molt'xto'�YE-St! NO <br /> arr+f%Isr9 dcp' rty <br /> 9. Describe. it,detail, havo 1'19 sov andw vm'er asm,;lers)beveoPn the pi;i,1g or;li,pjnser wit:be ootairte'': <br /> .0. Nandiing of oxcavated sDPI(Ccntamrt"d Soil Wmrdoua Wa„e Hauler): <br /> Marne_ Hauler Rogisteatiors#,,. � Phone <br /> Address._ .— — CaY �'"� zlP <br /> b)If m is not to be heu keid.descriae Iwhtrt will be done with it: <br /> 2 <br />