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S. a. Describe the method that will be utilized to purge and/or Inert the In <br /> 0Z � (,� 1S 1Ips M„ �- <br /> b. Tank/Piping Hauler: <br /> o <br /> Name 1%C. 1 (� <br /> Address City LC1 F C Zip _ <br /> Phone No.(�1 ) Jl J<o <br /> Hauler Registration # (if hauled as hazardous) <br /> C. Tank/Piping Disposal Site: <br /> Name_L,&i)V Zr12DN � (11FT{J <br /> Addressa�1 (%- Ck1f:CrN U7 R VF. city 'Rif S; NSD zip 02 1 rQS <br /> Phone No.(a OCI ) C�,!�s 1 <br /> EPA 1D# (If transported to a permltted TSD facility) (�) f f} <br /> / <br /> 9. <br /> Describe, in detail, how the soil and/or water sample(s) beneath the tank and piping will be obtained: <br /> lJ Qy A L' -Ms c.) CEG PEP Di R.9 c- A(0Cl <br /> 10. Describe how the excavation will be backfilled with suitable material upon removal: <br /> 0� <br /> rr) acfi r,f - 0 <br /> 11. Handling of excavated soil: <br /> a) What material will be used to line the tank pit and cover the stockpile? <br /> VtSQU�(U� , °I� RE�uEsTr ID (�v <br /> COS <br /> b) What willbethe final destination of the excavated stockpile? <br /> P�aCgac� 'A VbI6, AE'TEO 'TANS. ZF-Moucli <br /> c) Contaminated Soil Hazardous Waste Ilauler. <br /> Name ��� Hauler Registration # <br /> Address City_ Zip <br /> Phone No. ( ) <br /> Page 5 <br />