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b. a Hauler <br />Name /` <br />AZ /A Name <br />Address <br />City <br />State Zip <br />Phone No. ( ) <br />Hauler Registration # <br />C. Tank/Piping Hauler <br />Name �� A <br />Address <br />City <br />State Zip <br />Phone No. ( ) <br />Hauler Registration # t <br />d. Tank/Piping Disposal Site <br />Name / <br />Address <br />City <br />State Zip <br />-- Phone No. ( ) <br />EPA ID # <br />e. Contaminated Soil Hazardous Waste Hauler <br />Name <br />Address <br />City <br />State Zip <br />Phone No. ( ) <br />Hauler Registration # <br />9. Describe the method for purging and/or inerting of the tank(s). <br />A/ <br />10. FA the ap Iica/nt pr/�vided the detection limits that will be utilized in the suggested analysis? YES X NO [ ] <br />('ie0"T LIZ 4eC eb5' Lam, ixwl iwi/O+— L�'- ¢S O✓I JQ20e � <br />11. Describe in detail how the soil and/or water samples beneath the tank's invert and piping will be obtained. <br />oc <br />L r, ti (fa e L T" l,e L <br />/s.S i.(j <br />.�.sPitn4 l�rns.t '3H6�s .4�y E 7, <br />i <br />12. Describe how the excavation will be backfilled with suitable material (earth, sand, etc.) upon rer�9}oyal.J <br />A�lar� Scj,% �z. rodeS GWe T 14�, A � C/a ria" CO"& <br />Page 5 <br />