Laserfiche WebLink
Hauler Registration # <br /> Address _ �D�( 1`�_ City. Sal Aa _Zip gs <br /> Permitted Disposal Sit0 0 C .hAnAej WG J <br /> FPR'Jt0RD0RD I Fa?6o13 y 0r',j <br /> 7. a. Describe the method that will be utilized to purge and/or inert the pi ing: i_ <br /> • aCK n Il. <br /> A ej feWri%iJ 4o -7A A)-., <br /> b. Piping Hauler: m <br /> Name <br /> M <br /> Address. PD 114 aR City Lod i Zip 952-.'l 1 <br /> Phone ) 1 D <br /> Hauler Registration # (if hauled as hazardous) f1 �Cc <br /> C. Piping Disposal Site: <br /> Name LA Phone (-29q <br /> Address qQ �. City Zip <br /> EPA I (if transported to a permitted TSD facility) CAL WO 1 �®g <br /> 8. Is the sampling firm an independent third party from the contractor? YES [ ' NO [] <br /> 9. Describe, in detail, how the soil and/or water sample(s) beneath the piping or dispenser will <br /> be)obtained <br /> ui ,ii bt Im Ln .3 , 4y-en <br /> Q 1A I J? A <br /> 10. Handling of excavated soil: <br /> a) Contaminated Soil Hazardous Waste Hauler: <br /> Name—jot I ialz) ,tea .Cel L11 LRS Hauler Registration #QL00206602Y <br /> Address '{�./ _ �6�t 5:q City Zip SI if <br /> Phone ) A LOP <br /> b) If soil is not to be hauled, describe what will be done with it: <br /> i <br /> i <br /> 3 <br />