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a <br />b. Rinsate Hauler <br />Name <br />Address <br />City State Zip JUL lqoi <br />Phone No. Hauler Registration # <br />i . ;`.'II<ONMENTAL HE" <br />C. Tank/Piping Hauler f�Ll''"v'T!SER�.�iCE3 <br />Name,GC,�P��►,c!_gae4 coir <br />Address <br />city State e:!a. Zip 94TW <br />Phone No. (his/3q: Hauler Registration # p/� <br />d. Tank/Piping Disposal Site <br />Address 975'5 /AWF& xEllo. <br />City 2Fi�;�ddffQV,,D State �(' _ Zip <br />Phone No. 2A T— A V3 EPA ID <br />e. Contaminated Soil Hazardous Waste Hauler <br />Name <br />Address <br />City State Zip <br />Phone No. Hauler Registration # <br />Describe the method for purging and/or inerting of the moi. �P/,, <br />10. Has the applicant provided the detection limits that will be utilized in the suggested analysis? YES [ ] NO <br />11. Describe t detail how the soil and/or water samples beneath the piping will be obtained. <br />/ /✓ AwLi P--- <br />12. <br />12. Describe how the excavation will be backfilled with suitable material (earth, sand, etc.) upon removal. <br />Page 5 <br />