Laserfiche WebLink
;.. Will be urillzezedta Pine andfor Inert� CE 30 <br /> a, <br /> Describe the mewed that Sa rho i <br /> + b. fianklpipmg Hauler: <br /> Dame / C1tY �o'"� Zap <br /> Address 2,S✓� ,�v� <br /> � 159 <br /> � Z3s <br /> phone No�_ <br /> ' haWe!Registration hone <br /> (it hauled as hazardous) c� <br /> C. TanMplug DISpasal Site: <br /> 46w Name 0�� ,,,p �p Qom% <br /> } <br /> Ad Ss <br /> z P <br /> � <br /> �r/D. <br /> phone No ar/o Z31�%3 3 <br /> � Z <br /> t� �f6i <br /> BpA M#of transported to a permitted TSD Iaentty) NO t 1 <br /> iirm an independent third party tom the contractor? YES <br /> 9, is the sampalug and piping�be obtained.: <br /> beneath the tank <br /> gam Describe,in detail,haw the soil andlor water sample(s) / �, 111-11s 8 <br /> Pp do Cam <br /> o <br /> soma <br /> %n" 70-4w � 70 /9696 �yTirp�o"'n removal: <br /> 19. !)escrib0 how the excavaftu va P a be ed with� � IA'-p maters !` � G �O <br /> C C014W '!;7xC.IFW' 111 11 1111 <br /> f handling Of emvated salt• <br /> �. a)What material will be used to line the tank pit and <br /> ism 11561 <br /> the stackpueT <br /> !� v� D <br /> . b)What will be the dug destination of the excavated stackpheT � <br /> !la <br /> c)Contaminated Sail hazardous Waste Hauler: tion <br /> � � L ,N�, hauler Registry f <br /> Name J//!? Ti'ro � Zip �✓�Z � <br /> Q <br /> Address '0I <br /> phone Na. <br /> +� page 5 <br /> 3 048(Revised 10119198) <br /> 4m <br />