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5. Decontamination Procedures: <br />a. Will piping be decontaminated prior to removal? YES [ ] NO N <br />b. Identify contractor performing decontamination: <br />Name Phone (� <br />Address City <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 <br />Permitted Disposal Site <br />6. a. Describe the method that will be utilized to purge and/or inert the piping: <br />Purge Fuel into containment stnicture, immediately remove and return product to tank. <br />RECEIVED <br />FEB 2 5 2014 <br />ENVIRONMENTAL <br />HEALTH DEPARTMENT <br />Zip <br />0 <br />b. Piping Hauler: <br />Name Evergreen Phone (510) 795-9400 <br />Address 6880 Smith Ave City Newark Zip 94560 <br />Hauler Registration # (if hauled as hazardous) <br />c. Piping Disposal Site: <br />Name Evergreen Phone( 10) 795-9400 <br />Address 6880 Smith Ave City Newark Zip 94560 <br />EPA ID# (if transported to a permitted TSD facility) CAL000317393 <br />7. Is the sampling firm an independent third party from the contractor? YES N NO [ ] <br />a. Identify sampling firm: <br />Name Advanced Geotechnical Phone( 209) 467-1006 <br />Address 837 Shaw Rd City Stockton Zip 95215 <br />b. Identify laboratory performing analysis: <br />Name KiffAnalytical Phone L530) 297-4800 <br />Address 2795 Second St,. Suite 300 City Davis Zip 95618 <br />8. Describe, in detail, how the soil and/or water sample(s) beneath the piping or dispenser will be obtained: <br />Hand auger at angle to prescribed depth, collect sample using a slide hanuner <br />9. a. Handling of excavated soil (Contaminated Soil Hazardous Waste Hauler): <br />Name Hauler Registration # Phone (_) <br />Address City Zip <br />b. If soil is not to be hauled, describe what will be done with it: <br />4 <br />