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SAN JOAQUIN <br />COUNTY <br />c. Describe method to be used for decontamination: <br />Environmental Health Department <br />d. Describe how rinsate material will be stored onsiteXrior to manifesting offsite: <br />e. Rinsate Hauler and permitted Treatm <br />Hauler Name <br />Address <br />Permitted Disposal Site <br />Phone <br />& Disposal Facility: <br />_) Hauler Reg# _ <br />City Zip <br />6. a. Describe the method thXwill be utilized to purge and/or inert the piping: <br />b. Piping Haul <br />Name Phone <br />Address City <br />Hauler Registration # (if hauled as hazardous) <br />c. Piping Disposal Site: <br />Name <br />Address City <br />EPA ID# (if transported to a permitted TSD facility) <br />7. Is the sampling firm an independent third party from the contractor? <br />a. Identify sampling firm: <br />Phone <br />Zip <br />Zip <br />YES [ ] NO [ ] <br />Name Phone( ) <br />Address City Zip <br />b. Identify laboratory performing analysis: <br />Name Phone ( ) <br />Address City Zip <br />8. Describe, in detail, how the soil and/or water sample(s) beneath the piping or dispenser will be obtained: <br />9. a. Handling of excavated soil (Contaminated Soil Hazardous Waste Hauler): <br />Name Hauler Registration # Phone ( ) <br />Address City Zip <br />b. If soil is not to be hauled, describe what will be done with it: <br />4 of 6 <br />