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5 Decontamination Procedures: <br />a Will piping be decontaminated prior to removal'> YESNO <br />b ldentifv contractor performing decontamination <br />Name IZ(-, V Z Z., <br />-�n v r-c"'I A" �CS P In o n e t <br />Address 31i) 1i /V tj City S1I-0f--kfv"\ Zip 91. <br />c Describe method to be used for decontamination <br />d Describe how rtnsate material will be stored onsite prior to manifesting offsite <br />V. -A (- v '.: v\ Ti(' y <br />- <br />e Rinsate Hauler and permitted Treatment Storage & Disposal Facility, <br />Hauler Name Phone( ule <br />Address City /Huler Reg# Zip <br />Permitted Disposal Site <br />6 a Describe the method that will be utilized to purge and/or mert the p <br />b Piping Hauler <br />Name R< - TAIL - <br />Address 1175- VI'Vo% W,* Y - <br />Hauler Registration # (If hauled as hazardous <br />c Piping Disposal Site <br />Name L -'A <br />Address <br />EPA ID# (if transported to a permitted TSD facilit'y)- <br />7. Is the sampling firm an independent third party firoph/ the contractor,; <br />a Identify sampling firmi <br />Name 5+CA'1\ +e<=-: C C, <br />Address L0 e <br />b Identify laboratory performing analysis,,, <br />Phone <br />17 <br />city <br />-k', -)&.4tO _Zip C 4 <br />Phone <br />City — <br />Zip <br />YES< NO [ ',, <br />— Phone(Ifj i I - IL�5 C` <br />�sty .—ZIPSI�7 11 <br />Name 1±'�)CC: <br />_Phone (bQb;#_9_1j -7��� <br />Address <br />VC <br />Z' p 'I c <br />8 Describe, in detail how the soil ander water samplels) beneath the piping or dispenser wili be obtained <br />fiC <br />& <br />9 a Handling of excavat <br />NameA` <br />Address <br />b If soil is not to be ha <br />so�(Contarmnated Soil Hazardous Waste mauler) <br />Hauler Registration <br />- <br />City <br />describe what will be done with it <br />Phone <br />Zip <br />