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Hauler Registration <br /> City zip <br /> Address <br /> Permitted Disposal Site <br /> Describe the method that will be utilized to purge and/or inert the piping: <br /> b. Piping Hauler: <br /> Name <br /> �► r+�ss <br /> city zip <br /> Phone (�_) <br /> Hauler Reg7istmdon#(if hauled as hazardous) <br /> C. piping Disposal Site: <br /> Phone <br /> Name <br /> Address city zip <br /> I (if transported to a permitted TSD facility) <br /> 8. Is the sampling firm an independent third party from the contractor? YES NO [1 <br /> g, Describe, <br /> e rie, in detail, how the soil and/or water sample(s)beneath the piping or dispenser will <br /> be obtained: <br /> 10. dandling of excavated soil: <br /> a)Contaminated Soil Hazardous Waste hauler: <br /> Name Hauler Registration <br /> Address <br /> Dity Zip------ <br /> Phone ( -) 11 <br /> b) if soil is not to be hauled, describe what will be done with it: <br /> tro � 'A <br /> a tqr ST.:qt WAZ/FZ/P:P <br />