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5. Decontamination Procedures: <br />a. Will piping be decontaminated prior to removal? YES NO [ <br />b. Identify contractor performing decontamination, <br />Name <br />Address Phone <br />City <br />c. ©s ibe method to be used for decontamination: <br />d. eOribe ho,;�,i Z,;frnete iFa�ifi be stoTrd do �e pr to r bite ting o to <br />e. Rinsate Hauler and permitted Treatment, Storage & Disposal Facility: <br />Hauler Name 15�r fzy� .� _49A @8 %5_7 7%76Hauler <br />Address-.24i(„t <br />Permitted Disposal Site <br />R a- Describe the method that will be utilized to purge and/or inert the piping: <br />b. Piping Hauler: <br />Name <br />Phone (;) <br />Address <br />City <br />Hauler Registration # (if hauled as hazardous) <br />C, Piping Disposal Site. <br />Name <br />Phone �) <br />Address <br />City <br />EPA ID# (if transported to a permitted TSD facility) <br />7. Is the sampling firm an independent third party from the contractor? <br />YES [ ] <br />a- Identify sampling term: <br />Name 11,.- <br />Phoneme). <br />Address <br />City <br />b. Identify laboratory performing analysis: <br />Name <br />Phone <br />Address <br />city <br />8. Describe, in detail, how the soil and/or <br />Zip - <br />J <br />rilt <br />Zip 12-- <br />WE <br />Zip <br />NO[] <br />Zip <br />Zip <br />3m le(s) beneath the piping or dispenser wil� be obtained: <br />4L IN <br />9. a. Handling of excavated soil (Contaminated Soil Hazardous Waste Hauler): ill 4�1 <br />Name Hauler Registration # ph, <br />Address City <br />b. If soil is not to be hauled, describe what will be done with It: <br />,I <br />r <br />L_J_ <br />_ Zip <br />ze/ze 39Vd Q00A SV9 3NO V 9L9Lfi886121Z Lb:te eieZ/K/8e <br />