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CJG-10-1777 1'JO•JV(-1'1 f RIJI'1 I U P.e4 <br /> a Describe the method that win be utilized to purge andlor inert the=Igsy <br /> b.i Taakopittg Hamar. <br /> Name <br /> Address: 23S ,� 2 �Lc//� airs ap moo/ <br /> Phone4( L S ) 2�j S— /3T 7 <br /> Ilaaier';Beglstration!�(l1 hauled as hazaRfousj . <br /> C. Tanwp.ipttle,bisposai Site: <br /> Name <br /> Address City Zip <br /> Phone No�L?��� 7�7 S / i -3 <br /> EPA (if transported to a permitted TO facility) <br /> is rite Piing am independent wird party frem the contractor? YE3 Fr <br /> "Zia j <br /> Describe,bi det2k how the sail=&or water sample(s)beneath the task dad W-Ofng wi]I be o hmin d: <br /> C:6 'TAKcn! <br /> c <br /> i CN CA? ' <br /> 1. <br /> Describe how the ouavatiam wfii be backMed with soft.We materW Pon remsvaL <br /> 02 <br /> of ezca vated soil- <br /> a)What 1 naterial wilt be used to line the tank FH and cover the stodgUe? <br /> b)What II be tri*flaai destlnatiou of the e= amd sm e? 7c% — <br /> 7 Ci tit r3c lc <br /> '�'J -F�s,/Di=�t_z_ 1F sAn'JP�5 M67 - 7 <br /> / nra7". <br /> c)Cbnt=Anxted Soil Hazardms Waste Hauler. <br /> Name ����`R,�'J T2- .� i <br /> ���//`-z T_Hauler Registration f <br /> Qrz� 1715 / <br /> Address <br /> city ziv <br /> Phage No. <br /> 23 OU(Revised 10119!98) Page 5 <br />