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8. a. <br />b. <br />C. <br />the method that will be utilized <br />Tank/Piping Hauler: <br />n <br />and/or inert the tank(s): <br />Name <br />ff�M]RiRZl�lill[1Gt�lL�/I[�i�►�:i[ <br />Addresss� f <br />Phone Nol 510 ) u,, i <br />Hauler Registration # (if hauled as hazardous) 1 SS <br />Tank/Piping Disposal Site: <br />Name C Ml L l ( (t) U PC� <br />Address L_ (/ CityA Q Zip 7 <br />Phone No. U( 1 C )Z 13Q-3 <br />EPAID# (if transported to a permitted TSD facility) CA?—)qy 29"6 <br />9. Is the sampling firm an independent third party from the contractor? YESY NO [ I <br />9a. Describe, in detail, how the soil and/or water sample(s) beneath thptank and piping will be <br />10. <br />Describe how the excavation will be backfilled with suitable material upon removal: <br />11. Handling of excavated soil: <br />a) What material will be used to line the tank pit and cover the stockpile? <br />Ofi <br />b) What will be the final destination of the excavated stockpile? <br />LM <br />IF - <br />c) Contaminated Soil Hazardous Waste Hauler: <br />Name `ice 0 <br />U / Hauler Registration # 163 <br />Address 5,5— (111 CityRIC&M/11 Zip qi tJ / <br />Phone No. ( �5- /'O <br />EH 23 046 (Revised 08/13199) Page 5 <br />