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b. Rlnsate Har <br />Name <br />Address _ <br />City <br />PhoneNo.(_ <br />Disposal Sit <br />C Tank/Piping <br />Nam10 <br />e <br />Address 4S <br />City /J'M7 <br />Phone No. ( <br />d. Tank/Piping <br />Name <br />Address & <br />City 47/7 <br />Phone No. ( <br />C. <br />Site <br />3 <br />Soll Hawdous Waste Hauler <br />Name(� rD� T�l'k� <br />Address 51 T�-6f re p <br />Clry mo��STo <br />Phone No. ( 2,991 3`519- / o <br />9. Desclibe the method for purging and/or inerting of the tank(s). <br />0 <br />State C Z1 <br />Hauler Registration <br />State. <br />ID <br />EPA N <br />State CA Z.I <br />Hauler Registration <br />C <br />10. Describe/In detail how the soil and/or water samples beneath the tank's Invert and piping will be obtained. <br />SmJL �AaJOLES :U((J_ />.G (n//G/TG/1 A:Z In, J TA/G ] Q/, i r /iiia. .. <br />02 STiFi�-1 s5 5r-rEva5. D.v6 SN.no�F �!/�t'> 2.� t✓.va�r2 cc -ter 7t;1� <br />. /rrc c-•vui� �cvc(. �/v� s([1.oc-i.�b !fr _ Cotir�P<�vf9L �d FY[L <br />11. Describe how the excavation will be backfilled with suitable material (earth, sand, etc.) upon removal <br />Tff� E'XCijI/rtTiO4/ �y(Lc- R /�/1G{1FILC-ter✓(� a3llve5 GL '(J f=rLy ,O/2T a2 <br />�c/fi rJ"�< G� 4�PFi17E27jy�Py ld~ /L /y/I%eiE/L fMp L5.5 7M4�� �i/r /Z <br />hJ'1G1?�1 UL -/L Co�rr�9G tt�,e <br />Page 5 <br />