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a. a. <br />9. <br />9a. <br />10. <br />11. <br />L-71 <br />C. <br />Describe the method that will be utilized to purge <br />TNS -M» e- i),� _ 96Ar- <br />3LF To 7W i7(n./I✓ .4; h <br />ping Hauler. <br />Inert the <br />OF 30 (4S", P6/t_ 1, Coo G4c.ip._15 <br />Name !U.Ct-( pima", lun'j /NCf <br />Address / 33 6a/l{ tUF1Qf� AI16 , city /(/Jr7�S 7Z1Zip c6 .�� <br />Phone No.( 7A J 9 ► —To - /Ds— <br />Hauler Registration N (If hauled as hazardous) <br />TankMping Disposal Site: <br />Name MV.M-lZ) y rz <br />Address /4�3 <br />Phone No! 7�9 1 S27- <br />EPA <br />2Z <br />EPA IDN (If transported to a permitted TSD facility) N, <br />Is the sampling firm an independent third party from the contractor? YESK NO ( <br />Describe, In detall, how the soil and/or water sample(s) beneath the tank and piping will be obtalne(t <br />'rx c _ S,4" Al -A , a„A 6E C.1)"-gc-, 'qq `;?, ,, 7710 e4.+e�,5 &Ck6�- u 5( R46J 7k X6, Z( <br />-Roe, a 6S avS ,._ Bd 69Crf . rL tvRrt 54-r� - <br />W LL <br />E ��g�_t� -1EFI-w Ic{� crL 5LdM64&kk 7W6 MfoA0mS CVQ1*.)60.-rrri4ni; JTr <br />Describe how the excavation will be backfilled with suitable material upon removal• <br />11+6 6fG4V1t-, o,) t,,ru. 6& 44r—r u -o ua,,J6- &6--� fiL,Dgq-� ort usJl>�6a6�.av�i_ <br />LOt R Di,*" 6r6Z 64-64t64- 1;,14,) �k "" LW Ti --J �6 ` At t � I+/ATf� SAL <br />w„ - 66 Co�.Mc -60 usi A -) 6-k IXAUUL do -1 CTW nv I Z" L4MS . <br />Handling of excavated soil: <br />a) What material will be used to line the tank pit and cover the stoc"lle? <br />eLACk et.'q's;,c WI (2-I ,Me4j6%5 OF ALL - <br />b) What will be the final destination of the excavated stockpile? <br />..j-lr- —iH6 64601-n&J S7DCal LC IS Ct6v wrcmc 6& NSEo F�v-L gofr,�u- ,JEF7 IT <br />iS Car6wv6'Ear T71r- 6�06tS of CwT6w1,-I �w� lab 71W PI-VD34t CPI; <br />C) Contaminated Soil Hazardous Waste Hauler <br />g <br />Name (('(� M JCrz� 1 /"KGkfit &- Hauler Registration # 2 7 1 <br />Address f 3 3 L T -Au U rJ6 i,US , city M DOa-I—D Zlp 9S3S� <br />Phone No.( ?� ) W- L(t D�— <br />EH 23 MG (Revised 10119198) Page 5 <br />