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Mar-16-05 01:42pm From-Gettler-Ry Inc +9166311317 T-620 P.003/007 F-297 <br /> $, a. Describe the method that will be utilized to purge and/or inert the tank(s): <br /> Td A QA+HS S <br /> b. Tank/Piping Hauler. <br /> Name �� &V-ljIC&51 r 7A.0 <br /> Address. C-,A I-OL3 )12A SW D, City 6gLD.—W ;.L Zip 70;Z#6 <br /> Phone No.( 310 } �•yY 3 -. <br /> Hauler Registration# (if hauled as hazardous) 8/4 <br /> c_ Tank/Piping Disposal Site: <br /> Name U A5 co �7 Lr�..aD�►G L <br /> Address L{f� �4• U est City zip-E <br /> PhoneNo.(9z�) <br /> EPA ID#(if transported to a permitted TSD facility) <br /> 9. Is the sampling firm an independent third party from the contractor? YES NO[] <br /> 9a. Descxibe,in detail,how the'soil and/or water sample(s)beneath the taa and piping will be o tamed: <br /> L• c.Gery'szri .aur .�- �.c� tey..�p of uST w+�.a. <br /> •T 4. Fr A—,x -Q T,+e— •.j v <br /> OR-As. VIP-VVrbeCO Oy Cw�xy ��7uu.rru.�n.,.►��[.1��4-t-TM. two,.. ��o►��szua�.�47xsv <br /> 10. Describe how the excavation will be backfilled with suitable material upon removal: <br /> -Ftat� �/1G�� J 1 ML�7}d] O►� 9c►Gr+U St-L�C N GQAv�L. <br /> X1. Handling of excavated soil: <br /> a)What material will be used to line the tank pit and cover the stockpile? <br /> x,114 C,2v� �Td Covt✓� S~T��IG►�LL•' <br /> b)What will be the filial destination of the excavated stockpile? <br /> 19 1 w,P/icr&V> w l Pento Lwv%^ •. �_C"4 u, TK ) <br /> c)Contaminated Soil hazardous Waste Hauler: <br /> Name 1h 1 L��-I SSS tK���" Hauler Registration# 2-041 <br /> Address ��`�� L�Lp&-e, Ca2"-r, ,�{,�QCity . �FQl�1ME T� Zip , <br /> Phone No. l G _} <br /> 1vH 23 046 (Revised 10/16/03) Page 5 <br />