COMPLIANCE INFO_1986-2001 - Laserfiche WebLink

Home Browse Search

3. Has applicant performing removal in the City of Tracy obtained a "Grading and Excavation Permit"? N/A W YES [ J NO [ ] If YES, Permit # 4. Has the contractor obtained approval from the local fire department to perform tank cutting? NAWYES[ ] NO[ ] 5. Is there knowledge or evidence of leakage from the tank(s) and/or piping? (If yes, please explain) YES [ J NO [41 6. If tank residual exists, identify transporting hazardous waste hauler: Name N oR, C" ALC of L . n1 C, Hauler Registration # Address 91 0. C3cx city D id- Zip 1& 3 ► �o Phone # (a o0 352 —'B-716 7. DecontaminationProcedures: a. Will tank(s) and piping be decontaminated prior to removal? YES [ NO [ ] b. Identify contractor performing decontamination: Name To/J £N 6 ilJ IY�Cr /�1 G Address PD (®ZS' City Zip Phone No.( 73 f l G C. Describe method to be used for decontamination: d. Describe how rinsate material will be stored onsite prior to manifesting offsite: PQOOULI wl" 1UTr N7 2O M P60 lgfgA2TL wto a)M G TP.uGK- e. Rinsate Hauler and permitted. Treatment, Storage & Disposal Facility: Hauler Name. /NO K CA L 0/1— . /L- Hauler Registration # 2-+ 12- Address PO ?� �4 S City k2n A I F, Zip ✓rte] Phone No. ( 00 oto ) F -9 2 5�%1-0 Permitted Disposal Site BRy ;5( OF of L MC 10 Cx)G ( A)A-'t_„ ST. S4,J7,a CP -U Z T5"0(0 EH 23 046 (Revised 7/10/96) Page 4 CAO o$ E-9-3 8�L2- Z 1. (a) Is there a PHS-EHD contractor's questionnaire on file or enclosed? YES M/, NO [ ] (b) Is the current certificate of worker's compensation insurance on rile? YES [ NO [ ] (c) Does the contractor possess a "Hazardous Substance oval Certification"? YES (vj°� NO [ ] (d) Has everyone on site, including cranelbackhoe operator, been certified to work on hazardous waste site in accordance with CCR Title 8? YES NO ( ] 2. Has a "Site Health & Safety Plan" for this job site been submitted? YES NO [ j 3. Has applicant performing removal in the City of Tracy obtained a "Grading and Excavation Permit"? N/A W YES [ J NO [ ] If YES, Permit # 4. Has the contractor obtained approval from the local fire department to perform tank cutting? NAWYES[ ] NO[ ] 5. Is there knowledge or evidence of leakage from the tank(s) and/or piping? (If yes, please explain) YES [ J NO [41 6. If tank residual exists, identify transporting hazardous waste hauler: Name N oR, C" ALC of L . n1 C, Hauler Registration # Address 91 0. C3cx city D id- Zip 1& 3 ► �o Phone # (a o0 352 —'B-716 7. DecontaminationProcedures: a. Will tank(s) and piping be decontaminated prior to removal? YES [ NO [ ] b. Identify contractor performing decontamination: Name To/J £N 6 ilJ IY�Cr /�1 G Address PD (®ZS' City Zip Phone No.( 73 f l G C. Describe method to be used for decontamination: d. Describe how rinsate material will be stored onsite prior to manifesting offsite: PQOOULI wl" 1UTr N7 2O M P60 lgfgA2TL wto a)M G TP.uGK- e. Rinsate Hauler and permitted. Treatment, Storage & Disposal Facility: Hauler Name. /NO K CA L 0/1— . /L- Hauler Registration # 2-+ 12- Address PO ?� �4 S City k2n A I F, Zip ✓rte] Phone No. ( 00 oto ) F -9 2 5�%1-0 Permitted Disposal Site BRy ;5( OF of L MC 10 Cx)G ( A)A-'t_„ ST. S4,J7,a CP -U Z T5"0(0 EH 23 046 (Revised 7/10/96) Page 4 CAO o$ E-9-3 8�L2- Z