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g, a. Describe the method that will be,utilized to purve and/or inert the tank(s): <br /> •�Lv /j�t..nSTr N/ N/ VL- fln/d AMI j— <br /> r S <br /> b. Tank/Piping Hauler: <br /> Name V*57 <br /> address 7h;el+!' er+ City TOYr ib-- Zip — <br /> Phone No.( lA ) 4P09 — '�-A-7$ <br /> Hauler Registration # (if hauled as hazardous) <br /> c. Tank/Piping Disposal Site: <br /> Name 4taw— <br /> Address City Zip <br /> Phone No.( ) <br /> EPA IM (if transported to a permitted TSD facility) <br /> 9. Describe, in detail, how the soil and/or water sample(s) beneath the tank <br /> and piping will be obtained: <br /> IQ Describe how the excavation will be backfilled with suitable material upon removal: <br /> -31C ?elo 6y-,�(- <br /> 11. Handling of excavated soil: <br /> a) What materialwill be Used to line the tank pit and cover the stockpile? <br /> tody / <br /> b) What will be the final destination of the excavated stockpile? <br /> c) Contaminated Soil Hazardous Waste Hauler. 2 <br /> Name//� Qti S Hauler Registration m 2��✓yam <br /> Addressg� M G✓��vz��-- City <br /> %te <br /> Phone No. ( ) '30p1 ^ lei 7 <br /> 23 046 (Revised 7/10/96) Page <br />