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9. <br />10. <br />U. <br />Describe the method that will be utilized to purge and/or inert the <br />Tank/Piping. H, a'uler— <br />l(� <br />Name `� r t <br />Phone <br />Hauler Registration # (if hauled as hazardous) <br />C. Tank/Mpin�g /Diissp�o/sal Site: <br />✓V <br />Name t� N � <br />Address <br />Phone No.( 1 ) <br />EPA ID# (if transported to a permitted TSD <br />ll <br />cityzip-9 37G <br />City (4 j Zip <br />:.. A—;I tin..- the snil and/or water sam0ie(s) beneath the tank and piping will be obtained: <br />Describe how the excavation will be backfilled with suitable material upon removal: <br />Ce w IS Ui C/ CtiCs� <br />Handling of excavated soil: <br />a) What <br />will be used to line the tank pit and cover the stockpile? <br />b) What will be the final destination of the excavated stock -pile? <br />C) Contaminated <br />''S/9il Hazardous Waste Hauler. <br />Name AJ 1� Hauler Registration # <br />Phone No. ( ) <br />Page 5 <br />