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• <br />a. Describe the method that will be utilized to purge and/or inert the tank(s): <br />iIZV lGi% i,�Lt.t, ( A�A� 17� ttf P-I4AFED LIST <br />b. Tank/Piping Hauler: <br />Name I/U�?%�(,D� -MUlP Ma C2 <br />Address �✓(�� 7 �( iL �Clyi� City :n kP��— ZIP 9G i <br />Phone No4.1, ) &66-9375 <br />Hauler Registration # (if hauled as hazardous) CA 2 ( 23 <br />Tank/Piping Disposal Site: <br />Name �/UL�'I - C�%f1'ST 11A1�(%�7�� CQ <br />Address -FlUD "D I -M -U-0 62 — city T(.(.IZLG'L� zlP C1.S.3 <br />Phone No. ) 6&9 - 378 <br />EPA M# (if transported to a permitted TSD facility) �-3 '/A-- <br />/ 9.) Is the sampling firm an independent third party from the contractor? S () NO [ ) <br />9a. Describe, in detail, how the soil and/or water sample(s) beneath the tank and piping will be obtained: <br />10. <br />Describe how the excavation will be backfilled with suitable material upon removal: <br />11. Handling of excavated soil: <br />a) What material will be used to line the tank pit and cover the stockpile? <br />La Il 11, FCL>i sE i 1 <br />b) What will be the final destination of the excavated stockpile? <br />c) Contaminated Soil Hazardous Waste Hauler: <br />Name Ttf7�,�,.�01C-- Hauler Registration # 'Z(o �9� <br />Address f 0 • -3; � 7--.,5-7 City 1101 ZIP %57k <br />Phone No.( -ZP'% ) 3 &0 61-7 <br />EH 23 046 (Revised 10/19/98) Page 5 <br />