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S. a. Describe the method that will be utilized to purge and/or Inert the <br />b. Tank/Piping Hauler. <br />� <br />Name t.r' <br />L <br />Addresser ���c X CityZip 7 <br />Phone No. Z '�: ( , h(r' - Z -Z F 12 <br />Hauler Registration # (if hauled as hazardous) <br />C. Tank/Piping Disposal Site: <br />Address F�rycity tkc rc> zip <br />Phone No.(CA I�o ) 4Z l ICtQh <br />EPA H)# (if transported to a permitted TSD facility) <br />9. Describe, in detail, how the soil and/or water sample(s) beneath the tank and piping will be obtained: <br />10. <br />Describe how the excavation will be backfilled with suitable Taterinl upon removal: <br />-r e A I t �\ r �[t i�r < - �� \ l l S �, ad" l' <<�� lZ C plc_ <br />I1. Handling of excavated soil: <br />a) What material will be used to line the tank pit and cover the stockpile? <br />-rL' �t <br />b) What will be the final destination of the excavated stockpile? <br />JL&• <br />c) Contaminated SoU Hazardous Waste hauler. <br />Name M l u,( Hauler � Hauler Registration # ;�l <br />Address CityZi_ �. �C : �- ice,, P <br />Phone No. ( ;� c, )71 S,I -it-L14 _. <br />Page 5 <br />