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Hauler Regist*n # 0 <br />Address city. <br />Permitted Disposal Site <br />a. Describe the method that will be utilized to purge and/or inert the piping: <br />b. Piping Hauler: <br />Name <br />Address <br />City <br />Phone ( <br />Hauler Registration # (if hauled as hazardous <br />C. Piping Disposal Site: <br />M <br />WE <br />Name Phone ( <br />Address City_ Zip <br />EPA ID # (if transported to a permitted TSD facility) <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;Ze <br />obta' d <br />10�2 <br />10. Handling of excavated soil: <br />a) Contaminated Soil Hazardous Waste Hauler: <br />Name <br />Hauler Registration #. <br />Address city Zip <br />Phone ( <br />b) If soil is not to be hauled, describe what will be done with it: <br />9 <br />