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. <br /> 5. Decontamination Procedures: �=� ��" � ~ N�� �Va. VViUpipingbadeoonbsminatadpriorbonamova|? YES[] N[>[]� � -���=�' 0=�� m <br /> b. Identify contractor performing decontamination: <br /> OCT 3 0 2O17 <br /> Nome Phone <br /> Address City A[TH <br /> o. Describe method toboused for deoontamination: ��PA EFITM,,E NT <br /> d. Describe how rinsate material will be stored onsite prior to manifesting offsite: <br /> e. PKinoateHauler and permitted Treatment, Storage& Disposal Facility: <br /> Hauler Name Phone Hau|erReg# <br /> Address City Zip__________ <br /> Permitted Disposal Site <br /> G. o. Describe the method that will boutilized topurge and/or inert the piping: <br /> b. Piping Hauler: <br /> Name Phone <br /> Address City Zip___________ <br /> Hauler Registration#(if hauled aohazardous) <br /> o. Piping Disposal Site: <br /> Noma Phone <br /> Address City Zip__________ <br /> EPA|0#(if transported toepermitted TSD facility) <br /> 7. |othe sampling firm onindependent third party from the contractor? YES[] NO <br /> e. Identify sampling firm: <br /> Name Phone <br /> Address City Zip_______ <br /> b. Identify laboratory performing analysis: <br /> Nemo Phone <br /> Address City Zip_______ <br /> B. Describe, in detail, how the soil and/or water sample(s) beneath the piping or dispenser will be obtained: <br /> 8. o. Handling ofexcavated soil (Contaminated Soil Hazardous Waste Heu|ar): <br /> Name Hauler Registration# Phone(___j <br /> Address City Zip_________ <br /> b. |fsoil ianot tobohauled, describe what will bedone with it: <br /> sHouoouo(revised 1u-11-1W 4 <br />