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NOV. 19. 2015 10:26AM N0, 1292 P. 4 <br /> REG- LIVED <br /> 5. Decontamination Procedures: NOV 19 2015 <br /> a. Will piping be decontaminateco <br /> prior to removal? YES[) NO[] ENVIRONMENTAL <br /> b. Iderrti, confractor performi dentarrdnation: <br /> Name Phone HFALTIN ncDAQTee1=NT <br /> Address City Zip _ <br /> c- Describe method to be used for decontamination: <br /> d. Describe how rinsate matetiat will be stored onsite prior to manifesting offsite: <br /> e. Rinsate Hauler and permitted Treatment,Storage A Disposal Facility: <br /> Hauler Nam __ Phone( --) Hautar Reg# <br /> Address city Zip <br /> Perr dtted Disposal Site _ _- <br /> 6, a. Describe the method that rr/ill be utilized to purge andfor inert the piping: <br /> b. Piping Hauler: <br /> Name Phone — <br /> Address CRY Zip <br /> Hauler Registration#(if hauled as hazardous) <br /> c. Piping Disposal Site: <br /> Name Phone t� <br /> Address City zip <br /> EPA 100(if transported to a permitted TSD facility) <br /> 7. Is•the sampling firm an independedt third party'from the contractor? YES i] NO[] <br /> a identify sampling firm: <br /> Name Phone(^_) <br /> Address City Zip _ <br /> b. identify laboratory performing•analysis: <br /> Name Phone <br /> Address City zip <br /> B. Describe,in detail,how the soil and/or water samp)e(s)beneath the piping or dispenser will be obtained: <br /> 9. a, Handling of excavated soil(Contaminated Soil Hazardous Waste Hauler): <br /> Name . Hauler Registration#_Phone(--) <br /> Address City Zip <br /> b_ If soil is not to be hauled,desoribe what will be done with it <br /> d <br />