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Hauler Registration # � w7 �� <br /> Address b � tiK IS b — <br /> City zip X531 S <br /> Permitted Disposal Site <br /> 7 a . Describe the method that will be utilized too purge andi or inert tt th iping . <br /> i I 1 w ) L i= 10ET71P <br /> I <br /> b , Piping Hauler: <br /> I1 <br /> Name <br /> r,,, � � o _ City <br /> Yoega C� n�t� zip 9 Z S25 s <br /> Address �� - <br /> Phone CiL <br /> Hauler Registration # (if hauled as hazardous) <br /> C, Piping Disposal Site : <br /> r-� <br /> -�l�c„ Y �� Kl rl C'` Phone <br /> Name T45III- Zi <br /> p oco '1 a <br /> Address 13780 jF, I M -2rto City <br /> EPA ID# (if transported to a permitted TSD facility) <br /> 8 . Is the sampling firm an independent third parry from the contractor? YESX NO ) <br /> g , Describe , in detail , how the soil and/or water sample(s) beneath the piping or dispenser will <br /> be obtained : <br /> oP�Ta <br /> 1o . Handling of excavated soil : <br /> a) Contaminated Soil Hazardous Waste Hauler: 1a5� <br /> � OL) ' Ptry SHauler Registration # e57` <br /> Name ooD <br /> Address cel z W F <br /> � o,.�TnGc R � City So �Tt+ Gn �� Z; p 9ozg � <br /> Phone ( <br /> b) If soil is not to be hauled , describe will be done wi1111' cthitJL o ,� E <br /> 3 <br />