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Q <br />9. <br />9a. <br />10. <br />11 <br />J *./ <br />a. Describe the method that will be utilized to purge andlor inert the tank(s): \ <br />QS/1'r, SGG 7sf' i u.wn As 1!000 GQ./ un/.a. I <br />b. Tank/PipingHauleer. <br />Name we—s Y �ld.n <br />Address 17-7-1 S Z 6"" City / ED <br />Phone No.( ZDJ ) (o 2 2 R :7 �? '� � <br />Hauler Registration # (if hauled as hazardous) Al n/— LY.¢ docs 5 <br />C. TanklPiping Disposal Site: <br />Name e <br />Address/Z L% S• /�...or OrC1ty /u. Zip 9S�b'b <br />Phone No.( Z09 ) d'. 6 g 57,32k <br />SPA DH (if transported to a permitted TSD faclllty)—✓— � 5 <br />is the sampling firm an independent third party from the contractor? <br />YSSY NO[] <br />Describe, in detall, how the soil and/or water sample(s) beneath the and piping will be obtained: <br />Describe how the excavatio....n wlll be bac filled with suitable materia/ upon removal• v <br />�xC-'jL/ ."o.�� arc sr� <br />nn f_ ..i✓�"�.- _ rlCi...,_ /.sa An('7`�/ AeYi-Q/ ate' <br />Handling of excavated soli <br />a) What material will be used to line the tank pit and cover the stockpile? <br />b) What will be the final destination of the excavated stockpile? <br />• a cocas � <br />) ,Lf� /s�o5edof` f Forwar 1.cc� �+✓��:/�i <br />c) Contaminated S/Ioll Hazardous Waste Hauler. / 00 270 7 3 <br />Name 1; Hauler Registration # <br />,,/ �g zip 9��3� <br />Address / ? 5 . Cl o At" 06.1 city i7' a <br />Phone No. (—Q ) Z 3 3 y <br />SH 23 046 (Revised 08113199) Page 5 <br />gral�sis . <br />M <br />