Laserfiche WebLink
Describe the method that will be u"d to purge andlor inert the tank(s): <br />T ping ~ Wer. <br />Name <br />Address Zip <br />Phone No.( 26C7 ) q6C f— S—' 3 a3 <br />Hauler Registration i pf hauled as hazardous) �C <br />T pin sposal Site: <br />Name <br />W <br />Address es /,n City / ` Zip <br />Phone No.( 1 <br />EPA M# (if transported to a permitted TSD facility) <br />Is the sampling firm an independent third party from the contractor? YES ( NO [ <br />9a. Describe, in detali,bq wthe soil andlor water sampleW beneath the tank and piping will be obtained: <br />T leA4f- 4r L F <br />10. Describe how the excavation will /be backfilled with suitable material upo oval: p� <br />11. Handling of excavated soil: <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 />c) Contaminated Soil Hazardous Waste HHaulere <br />Name i �9 fl�iz W' �::q L(— Hauler Registration f <br />Address Qa� r"r� n3 0,&a'p City �i,�— Zip -3,6 <br />Phone No. ( ) Z0 (/— 61 Z q, -_ <br />— <br />EH 23 046 (Revised 08113199) Page 5 <br />