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8. <br />9. <br />10. <br />a. <br />b. <br />C. <br />s <br />Describe the method that will <br />)„� v 7 i 1= - 1.4 <br />Tank/Piping Hauler: <br />Name' <br />• <br />lized to purge and/or inert the <br />Address -city�S���--�� zip <br />Phone No.( JCl ) SS 1 �� <br />Hauler Registration # (if hauled as hazardous) <br />Tank/Piping Disposal Site: <br />Name FSe <br />Address �3�1�' J� �� City G�}'/? zip �7 <br />Phone No.i�3 <br />EPA i(D# (if transported to a permitted TSD facility) �G1a �T 3 <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 />p'), TV 'A5��7� &�PiQ�VCL UZ <br />11. Handling of excavated soil: <br />a) <br />What material willl be used to line the tank pit and cover the stockpile? <br />),c>/T'4! 1 54y <br />b) What will be the final destination of the excavated stockpile? <br />c) Contaminated Soil Hazardous Waste Hauler: <br />Name ` 44AI t &yJ im-K l Hauler Registration # � t"3 1 <br />Address 68,76"0 City C"' Zip ��11 <br />Phone No. <br />EH 23 046 (Revised 9/11/96) Page 5 <br />