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-1 « cuic U0.1 f Unnnl UUUUU 0tt1'=ttttt1tttftt0N <br />PAGE 04/30 <br />Decontamination Procedures: <br />a. Will piping be decontaminated prior to removal? <br />b. Identify contractor performing decontamination: <br />YES [I No>( <br />Name <br />( _) <br />Address Phone <br />City Zip <br />c, Describe method to be used for decontamination: <br />d. Describe how rinsate material will be stored onsite prior to manifesting offsite: <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 +he piping: <br />,r/ i�?lv c'uN�4s,�.•. H ,S�iuc�e.c j�.rti+e .itr/_Cenuve c.v� I <br />b, Piping Hauler: <br />Namerc ei., Phone Z 49 <br />Address /_FSqo _City �cc��v Zip �(P <br />Hauler Registration # (if hauled as hazardous) <br />c, Piping Disposal Site: <br />Name 1:Ve!4 Phone t0 75S_ -q400 <br />Add ress lo isC�o S ri i ll,. A vc- City I'L Zip S(� <br />EPA ID# (if transported to a permitted TSD facility) C- -000 -31 "1 3 era <br />'r. Is the sampling firm an independent third party from the contractor? YES [ j NO [ j <br />a. Identify sampling firm: <br />Name_AAV(J g_,' Phone(70() Y6"%- jon(o <br />Address 063 5" 1� City +-c fa Y, Zip SZ <br />b. Identify laboratory performing analysis: <br />Name l ckC ' �4 e,. phone (-!r� -Z -7 <br />Address — 3 oo City nav,r Zip CA <br />�- <br />8, Describe, in detail, how the soil and/or water $ample(s) beneath the piping or dispenser will be obtained: <br />e, -c, cz e <br />9. a. Handling of excavated soil (Contaminated Soil Hazardous Waste Hauler): <br />Name <br />Address <br />Hauler Registration # Phone c _) <br />City <br />b. If soil is not to be hauled, describe what will be done with it: <br />4 <br />Zip __: <br />