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,d 18/2005 09:01 2094433 EHD . PAGE 04 <br /> Hauler Registration # <br /> Address ] 6 (*' City zip'?s <br /> Permitted Disposal Site c� <br /> a. Describe the method th.#will be utilized to urge nd/or inert the piping: <br /> I' <br /> b. Piping Hauler: <br /> Address 'Er ` <br /> /Bis,L_ city s-- e-44<-raj Zip tS�tis� <br /> Phone <br /> Hauler Registration #(if hauled as hazardous) <br /> Ar- <br /> c. Piping Disposal Site: <br /> Name�T��� r1L`[IS PPhho1 <br /> ne ej2g � <br /> Address c City_��t)Gk' �\fZipjS-7-0'S' <br /> �ralD# (ii transported a permitted TSD facility) <br /> 8. Is the sampling firm an independent third party from the contractor? YES [ }� NO [ ) <br /> 9. Describe, in detail, how the soil and/or w sample(s) beneath the piping or dispenser will <br /> be obtaine ., <br /> 10. Handling of excavated soil: <br /> a) Contaminated Soil Haza dous Waste Hauler: <br /> Name Hauler Registration # <br /> Address city <br /> Zip <br /> Phone ( b�[f i q pPRe-es66 A'�-741 46 <br /> b If soil is not to be hauled, describe what will be do with it: <br /> e <br /> 3 <br />