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ft <br /> 5. Decontamination Procedures- <br /> Li, -v-v III PIP1119 Uki UMMILdItHrIdLeu pliul to lemovar YES f N OX <br /> b. Identifv contractor performinci decontamination.- <br /> Name 4� Phone <br /> Address City Zip <br /> c. Describe method to be used for decontamination: <br /> 41A <br /> d. Descri how rinsate material will be stored onsite prior to manifesting offsite: <br /> A <br /> e. Rinsate Hauler and permitted Treatment, Storage&Disposal Facility: <br /> Hauler Name ItIIA Phone Hauler Reg# <br /> Address City Zip <br /> Permitted Disposal Site <br /> 6. a. Describ the method that will be utilized to purge and/or inert the piping: <br /> b. Piping Hauler: <br /> Name A4-4 Phone <br /> Address / —City Zip <br /> Hauler Registration#(if hauled as hazardous <br /> c. Piping Disposa Site: <br /> Name.,,_ Phone <br /> 10� <br /> Address City Zip <br /> EPA ID#(if transported to a permitted TSD facility <br /> 7. Is the sampling firm an independent third party from the contractor? YES NO <br /> a. Identify samplin firm: <br /> 01 <br /> Name Phone( <br /> Address./ City Zip <br /> b. Identify labora ry performing analysis: <br /> Name vit, T;,Aa Phone(____) <br /> Address / City Zip <br /> 8. Describe, in etail, how the soil and/or water sample(s) beneath the piping or dispenser will ne,ontainpot <br /> '--`-minated Soil Hazardous Waste Hauler): <br /> Adeir <br /> e Citv 7in <br />