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V. REMEDIATION SYSTEM INFORMATION (complete when applicable) <br /> Has system been installed? Yes F7 NoFTI <br /> Describe: <br /> Enclosed per codes? Yes No <br /> Ventilated? Yes No <br /> If"Yes,"Explosion-proof? Yes No <br /> Blower systems on a timer? Yes No <br /> Have sound level surveys been conducted on site? Yes F-1 <br /> No 1_9 <br /> If"Yes,"record range of survey results and approximate distance from source: <br /> dBA Source Distance from Source Date <br /> Check all energy sources on the remediation site: <br /> Electrical Mechanical ❑ Other(describe) <br /> Thermal Hydraulic <br /> Chemical Pneumatic <br /> NOTE: If site work involves areas service by more than 1 energy source on site, written, equipment-specific <br /> Lockout/Tagout Procedures are required! <br /> Work area service by more than 1 energy Yes No X List sources? <br /> source? <br /> Written Lockout/Tagout Procedure required? Yes 7 No ❑X Where is it located? <br /> NOTE: At all times when Miller Brooks personnel or contractors are onsite, a site/facility operator will be present <br /> and responsible for all equipment operation, shutdown/ lockout procedures. At no time will anyone apart from the <br /> approved onsite facility operator operate or interfere with any electrical, mechanical, hydraulic or other "energy <br /> sources". <br /> VI. HAZARD EVALUATION <br /> Identify all chemicals that are present or are suspected of being present on site and list their maximum concentrations in <br /> soil/water. Information on hazardous properties is listed in Appendix A. For chemicals not shown in Appendix A, enter the <br /> hazardous property information in the spaces provided and attach a NIOSH chemical information sheet. See notes below for <br /> both the on-site and off-site hazard evaluations. <br /> Miller Brooks Environmental Inc. 1/30/2008 Page 6 <br />