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\a. Will <br /> ation Procedures: <br /> g be decontaminate for to removal? YES [] ] <br /> ontractor performing decontamination: <br /> Phone City method to be used for decontamination: � E�J <br /> VE <br /> d. Describe ho rinsate material will be stored onsite prior to manifesting offsite: ENVIRONMENTAL HEALTH <br /> LjepAFffMENT <br /> e. Rinsate Hauler anditted Treatment, Storage & Disposal Facility: <br /> erm <br /> Hauler Name Phone�_) Hauler Reg# <br /> Address City Zip <br /> Permitted Disposal Site <br /> 6. a. Describe the method that will be 'Iized to purge and/or inert the piping: <br /> b. Piping Hauler: <br /> Name Phone (_) <br /> Address City Zip <br /> Hauler Registration#(if hauled as hazardous) <br /> c. Piping Disposal Site: <br /> Name Phone ( ) <br /> Address City Zip <br /> EPA ID# (if transported to a permitted TSD facility) <br /> 7. Is the sampling firm an independent third party from the contractor? YES [] NO [] <br /> a. Identify sampling firm: <br /> Name P ne( ) <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 a 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 /> EH230038(revised 7-26-2016) 4 <br />