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07124/2006 12:59 4640136 ENVIRONMENTAL HEALTH PAGE 04 <br /> Hauler Registration# <br /> Address City Zi <br /> Permitted Disposal Site <br /> 7. a. Describe the method that will be utilized to purge and/or inert the piping: <br /> b. Piping Hauler: <br /> Dame <br /> Address Cid Zip <br /> Phone (�) <br /> Hauler Registration#(if hauled as hazard sly ^ — <br /> c. Piping Disposal Site: <br /> Name phone(� <br /> Address city Zip — <br /> EPA IN (if transported to a permitted TSD � ) <br /> 8. Is the sampling firm an independent third party from the contractor? YES t j NO E I <br /> 9. Describe, in detail, how the soil and/or water sample(s) beneath the piping or dispenser will <br /> be obtained: <br /> 10. Handling of excavated soil: <br /> a) Contaminated Soil Hata v Waste Hauler. <br /> Name Hauler Registration# <br /> Phone (�) <br /> b) if soil is not to be hauled, describe what will be dome with it: <br /> 3 <br />