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0 <br /> 5. Decontamination Procedures: <br /> a. Will piping be decontaminated prior toremoval? YES [l NO <br /> b. Identify contractor performing decontamination: <br /> Name' ' phone /cl^! <br /> Address - city zip c� <br /> o. Describe method tobeused for decontamination: <br /> d. Describe how hnaote nnmteho|will be stored onsite prior to manifesting offsite: <br /> e. R|mamte Hauler and permitted Treatment, Storage& Disposal Facility: <br /> Hauler Name Pho ity Hauler Reg# Zip <br /> Address C�ity <br /> it <br /> Permitted Disposal S!�t �— <br /> G. o. Describe the method that will beutilized topurge and/or inert the piping: <br /> b. Piping Hauler: <br /> Name Phone <br /> Address City Zip <br /> Hauler Registration#(if hauled as hazardous) <br /> c. Piping Disposal Site: <br /> Phone <br /> Name <br /> Address City Zip <br /> EPA ID#(if transported to a permitted TSD facility <br /> 7. —the sampling —firm _ 'independent --third party from -- <br /> con ctor? YES NO <br /> a. Identify sampling firm: <br /> Name Phone(_) <br /> Address City Zip_ <br /> b. Identify laboratory performing analysis: <br /> Name Phone <br /> Address City Zip <br /> soi"nd/or water sample(s)beneath the piping or dispenser will be obtained: <br /> _ Describe,_ in detail,_ '_ the _ <br /> 9. a. Hanomgcx <br /> �vated soil (Contaminated Soil Hazardous Waste Hauler): <br /> Name Hauler Registration # Phone <br /> Address// city Zip <br /> _ If-/' — not to be hauled, describe --' —ill' be don_— with — <br /> � <br /> 3 <br />