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. . <br /> �J���- �J���] ����d�U �m�' <br /> ` ~~~ ' ^ ~ ^ ~-^=~ ~~"-~- <br /> 5. Decontamination Procedures: 0����I��� � <br /> o. VWUpiping bedecontaminated phortoremoval? YES[] ���=� m��� �� 0��m�p <br /> - Identify- contractor performing decontamination: <br /> Name 0 ��� - Pce ~~- <br /> Address 64n0�8 Zi <br /> c. ueoonoe mssnoo no be used for decontamination: ENV\�C� HEATH <br /> y�KB� -- <br /> ENT <br /> d. Describe how rinsate material will be stored onsite prior to manifesting offsite: <br /> e. Rinmmtm Hauler and permitted Treatment, Storage& Disposal Facility: <br /> Hauler Name hone Hau|erReQ# <br /> Address City Zip___________ <br /> Permitted Disposal Site <br /> S. o. Describe the method that will beutilized topurge and/or inert the piping: <br /> b. Piping Hauler: <br /> Noma Phone <br /> Address city Zip___________ <br /> Hauler Registration#(if hauled as hazardous) <br /> o. Piping Disposal Site: <br /> Nome Phone <br /> Address City Zip____________ <br /> ERA lO#(if transported toopermitted TSD facility)NOT APPLICABLE <br /> 7. Is the sampling finn on independent third party from the contractor? YES[] NO [� <br /> o. Identify sampling firm: <br /> Name Phone(___) <br /> Address City Zip_____ <br /> b. Identify laboratory performing analysis: <br /> Name Phone <br /> Address City Zip__________ <br /> 8. Describe, in detail, how the soil and/or water sample(s) beneath the piping or dispenser will be obtained: <br /> Q. o. Handling ofexcavated soil (Contaminated Soil Hazardous Waste Hou|er): <br /> TO Noma Hauler Registration# Phone <br /> Address Qb/ Zip___________ <br /> b. If soil is not to be heu|ed, describe what will badone with it <br /> 4 <br />