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Hauler Registrolon # <br /> 1p <br /> Address Zip_ <br /> Permitted Disposal Site <br /> 7. a. Describe the method tha-f—Ul will be to purge and/or inert the piping: <br /> b. Piping Hauler: AIA <br /> Name <br /> Address City Ci Zip <br /> Phone ( <br /> Hauler Registration#(if hauled as h;dous)_, <br /> C. Piping Disposal Site: <br /> Name Phone <br /> Address city_Zi <br /> EPA IM(if trans ed to a permitted TSD facility <br /> 1 <br /> 8. Is the sarni:plin rm n'n an independent third party from the contractor? YES NO <br /> 9. Describe, detail, how the soil and/or water sample(s) beneath the piping or dispenser will <br /> be obtained: <br /> 10. Handling of excavated soil: Al <br /> a) Contaminated Soil Hazardous Waste Hauler. <br /> 'r <br /> Name Hauler Registration# <br /> Address Z —City. Zip_ <br /> Phone (_) <br /> b) If soil Is not to be h describe what will be done with it <br /> 3 <br />