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} <br />37— / C);) S -- o ( <br />8' a. D he the method that will be utilized to <br />t Purge and/or inert <br />b. TanWPipfng Hauler. <br />r. <br />Address� <br />Clty v <br />ni (L\- �T S li. , <br />Phone No.(11., <br />hauler Registration # (it hauled as hazardous) <br />C. Tank/Piping Disposal Site: <br />Name ' � /p C � q'3 53 ckscksc5v. <br />Addres � r—�' <br />Phone No. <br />Zip <br />IPA H)# (If transported to a permitted 'ISD facility) -,t -_ <br />9. Describe, in detail, how the soil and/or water sample(s) beaealh the tank and piping will be obtained: <br />10. Describe how the excavation will be backfilled with suitable material upon removal: <br />11. Handling or excavated soil: <br />u) What material will be used to line the tank pit and cover the stockpile? <br />r <br />,1C 1 (_ <br />b) What will be the final destination of the excavated stockpile? <br />E �` L <br />Contaminated Ori I spa ' ous Waste fouler. c <br />c nuc i� �Ti`�ti.� <br />Name <br />•..h t�,l 1�i r <br />Hauler Registration #4:7 <br />Address t <br />city— C1.i ✓ 1. o 14 II ZIP -2f., <br />Phone No. �(=)—�J•) P� <br />Page 5 <br />