Laserfiche WebLink
a Describe the meth Id that will be U;IUZed top 10a andlor inert the to s <br /> C. <br /> b TankMping flamer <br /> Name }� ���- <br /> Addresses � -'�N ——Cly zip <br /> Phone No <br /> gi <br /> Hauler Registration if hauled as hazardous) Z �1> S <br /> c TankMping Disposal Site �p.I <br /> Name AILSTS <br /> �t511�r 1 <br /> Address City u P <br /> PhoneNoL?n---) <br /> EPA ID#(if transported to a permitted TSD facility) �- <br /> Is the sampling tirm an independent third party from the contractor? YES �NO <br /> s beneath the tank and piping will be obtained <br /> 9a Describe,in�d1 i1,how�the oil andlor water sample( ) L <br /> 11 <br /> 10 Describe how the excavation will be backfilled with suitable material upon removal <br /> I " <br /> 11 Handling of excavated soil <br /> a)What material will be used to line the tank pit and cover the stockpile? <br /> L <br /> b)What will be the final destination of the excavated stockpile? <br /> c ntaminated�SSoil Hazardous WasteHauler <br /> p, <br /> Name t Hauler Registrationi! <br /> �, L1N �p <br /> Address city[� <br /> Phone No I 1 <br /> EH 23 046(Revised 08113199) Page 5 <br />