Laserfiche WebLink
• <br />5. Decontamination Procedures: <br />a. Will piping be decontaminated prior to removal? YES ( ] <br />b. Identify contractor performing decontamination: <br />Name <br />Address <br />c. Describe method to be used for decontamination: <br />• <br />=9 <br />Phone ( ) <br />City <br />d. Describe how rinsate material will be stored onsite prior to manifesting offsite: <br />18 <br />EN 9 ONi6wrENTAL HEALTH <br />e. Rinsate Hauler and permitted Treatment, Storage & Disposal Facility: <br />Hauler Name Phone ( ) Hauler Reg# <br />Address City <br />Permitted Disposal Site <br />6. a. Describe the method that will be utilized to purge and/or inert the piping: <br />b. Piping Hauler: <br />Name <br />Address <br />Hauler Registration # (if hauled as hazardo <br />Phone (� <br />City <br />c. Piping Disposal Site: <br />Name Phone (� <br />Address City ip _ <br />EPA ID# (if transported to a permitted TSD facility) <br />7. Is the sampling firm an independent third party from the contractor? YES [ ] O [ ] <br />a. Identify sampling firm: <br />Name <br />Phone <br />Address <br />City _ <br />b. Identify laboratory performing analysis: <br />Name <br />Phone <br />Address <br />City _ <br />ME <br />Zip <br />8. Describe, in detail, how the soil and/or water sample(s) beneath the piping or dispenser will bel obtained: <br />9. a <br />701 <br />Handling of excavated soil (Contaminated Soil Hazardous Waste Hauler): <br />Name Hauler Registration # <br />Address City <br />If soil is not to be hauled, describe what will be done with it: <br />EH230038 (revised 7-26-2016) 4 <br />Phone(____) <br />Zip <br />