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S. a. Describe the method that will be utilized to purge and/or ' ert he tank(s): <br />,22 r <br />9. <br />10. <br />11. <br />b. Tank/Piping Hauler. <br />Name �` Y / c� .--5 Z' -7'L C - <br />Address �� r r A- )yl -1 city �`- � zi <br />Address � __ ty p Ytis G <br />Phone No.( 5-/& ) e- --3 5 -- <br />Hauler Registration # (if hauled as hazardous) <br />C. Tank/Piping Disposal Site: <br />Name 4r-- -r <br />Address 0�� �,4 r r- Z'3je cl Ci - zip <br />Phone No.( —/C ) Z-:2129-- %-3 <br />EPA ID# (if transported to a permitted TSD facility) <br />Describe, in detail, how the soil and/or water sample(s) beneath the tank and piping will be obtained: <br />Describe how the excavation will be backfilled with suitable material upon removal: <br />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 />r <br />c) Contaminated Soil Hazardous Waste Hauler: <br />Name22�-S Hauler Registration # $ <br />Address �y `3�� ��c�x�- iCr� city zip <br />Phone No.( <br />Page 5 <br />