Laserfiche WebLink
SA N J 0 A QU I N Enotionmental Health Department <br /> -- - - COUNTY <br /> c . Describe method to be used for decontamination : ECV <br /> VED <br /> MAN Z <br /> d . Describe how rinsate material will be stored onsite prior to manifesting offsite : <br /> vlRor;MENrat_ HEALTH <br /> s <br /> e . Rinsate Hauler and permitted Treatment, Storage & Disposal Facility : <br /> Hauler Name Phone Hauler Reg# <br /> Address City . Zip <br /> Permitted Disposal Site <br /> 6 . a . Describe the method that will be utilized to purge and/or inert the piping : <br /> b . Piping Hauler : <br /> Name Phone �) <br /> Address City Zip <br /> Hauler Registration # ( if hauled as hazardous ) <br /> c . Piping Disposal Site : <br /> Name Phone <br /> Address City Zip <br /> EPA ID# ( if transported to a permitted TSD facility) <br /> 7 . Is the sampling firm an independent third party from777hone(.) <br /> YES [ ] NO [ ] <br /> a . Identify sampling firm : <br /> Nameme— <br /> Address City Zip <br /> b . Identify laboratory performing analysis : <br /> Name Phone ( ) <br /> Address City Zip <br /> 8 . Describe , in detail , how the soil and/or water sample(s ) b neath the piping or dispenser will be obtained : <br /> 9 . a . Handling of excavated soil ( Contaminated Soil azardous Waste Hauler) : <br /> Name Hauler egistration # Phone ( ) <br /> Address City Zip <br /> b . If soil is not to be hauled , describe what w ' I be done with it: <br /> Is <br /> 4of6 <br />