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07/30/2.008 WED 15: 24 PAX 2094683433 oao EHE) Q004/030 <br /> _ KSYSTEM RETROFIT OR RE^ AR <br /> (Submit rrinimum of 2 sets cf plans &applications as ohqinais vvill be retained by EHC) <br /> 1. Site map ono|omed YES [] ] <br /> 2. K4mnufactuny'sspec sheets attoohedfor all equipment boheizstal|sdYl��r] NO <br /> 3Denoription of work to be completed (|f add8r]piping. VDO'o, o,uffierUST equ}pment. or performing tank top upgrade. <br /> uoa *heUST|no|aUotinn&ppUnsd|onpagon4-8asrnoeamaryforebmcdyp|anremimx): <br /> �� <br /> 5, Ail equipment ioS��cod�odorapp.o«*o. y4- "I <br /> O. Decuntam!nation Procedures: <br /> a. Will piping bedecontaminated pho,tammuval? \'Es[� <br /> b. |oenhfycontractor performing deconromination: <br /> Na —Phore(___) <br /> u Describe method to be used for decontamination: <br /> dDescribe how rinsate material will be stored onsiia prior to mani'esting cffsite: <br /> o RinsatoHauler and permitted Treatment,O�oraQe& Disposal Faciihy: <br /> Hau|orNumo Phune(___)_______`______Huu�*rRag <br /> Address-------- City zip__ <br /> Permitted D|opooa|Site <br /> 7. e, Deaonbe Me method that will be utilized{o purge amdior inert the piping: <br /> n. Piping Hauler: <br /> Narne _ Phuna(____)________________ <br /> Address ZO________ <br /> Hauler Registration#(if hauled omhuzarUo4n) ______ _______________________ <br /> o. Piping Diopoua|Site: <br /> NamePhono <br /> AddressCtyZ|p_________ <br /> EPA|D#(|fhanmpododb/apennithsdTGDfmcU�y <br /> S. Isthe sampling firm anindependent third party from 'he oonkaotor'? YES [) ND |] <br /> A, Desc,ibe, in detail,how the soil anc/or water sample(s)bereath the piping or dfsperser will be obtaned: <br /> 1O Handling ofexcavated uoi| (Contamina1eoSoil Hazardous Waste Huu|or)+ <br /> NemoHauler Registration # Phone <br /> i___________ <br /> AddreoaCi*, <br /> b) |fsoil iurot tobehuu|ed. Ceonhbewhat will oodcnewith it: <br />