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•i3 <br /> a. Describe the meth d that will be uttUzed to purge andlor inert the tank(s): <br /> ' b. TankMpingg Hauler. <br /> Name �J <br /> Address n1_3ox 3,5`7 City ZIP <br /> PhoneNo.(_,-?,g2 cJ )_ '? <br /> Hauler Registration N(if hauled as hazardous) 12 <br /> c. Tank/PlpingDisposal Site: <br /> Name <br /> Address / k' NCl7CD�DO� c,��SO�'I r/SC rJi� ary zip <br /> Phone No.( <br /> EPA IDR(If transported to a permitted TSD facility) st✓�j9 <br /> 9. Is the sampling firm an Independent third party from the contractor? YEK NO I] <br /> 9a. Describe,In detail,how the soil andlor water Sample(s)beneath the tank and piping will be obtained: <br /> q/114i� <br /> L <br /> 10. Describe how the excavation will be backfilled with suitable material upon removal: <br /> li. Handling of excavated soil: <br /> a)What material will be used to line the tank pit and cover the stockpile? <br /> 61��/Z 6627�( 15�1 f7�- <br /> b)What will be the final destination of the excavated stockpile? <br /> Sz ilc/c 131 xo B.�rff0 <br /> CbC�i �e 7 GE <br /> c)Contaminated Soil Hazardous Waste Hauler Z7f�i0� 4/F 'L <br /> Hauler Registration# .2_662� <br /> Address j(� 3OX .5 City O Zip 7 / <br /> Phone No. c;202 302 4/f �%J <br /> EH 23 046(Revised 10119198) Page 5 <br />