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SAN.JOAQUIN Environmental Health Department <br /> COU NTY—__ � <br /> c. Describe method to be used for decontamination: P-E.- Cj% E; <br /> JAN 0 8 2018 <br /> d. Describe how rinsate material will be stored onsite prior to manifesting off siNVIRONMENTAL HEALTH <br /> N f 4 [.E,pARTMFNT <br /> e. Rinsate Hauler and permitted Treatment, Storage& Disposal Facility: Ifli9 <br /> Hauler Name Phone Hauler Reg# <br /> Address City Zip <br /> Permitted Disposal Site <br /> 6. a. Describe the method that will be utilized to purge and/or inert the piping: <br /> 4A <br /> b. Piping Hauler: <br /> Name )y Phone <br /> Address City Zip <br /> Hauler Registration #(if hauled as hazardous) <br /> c. Piping Disposal Site: <br /> Name 7/�� Phone ( ) <br /> Address City Zip <br /> EPA 1D4 (if transported to a permitted TSD facility) <br /> 7. Is the sampling firm an independent third party from the contractor? YES [] Na [] <br /> a. Identify sampling firm: At f fA <br /> Name Phone(___) <br /> Address City Zip <br /> b. Identify laboratory performing anal <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 be obtained: <br /> 14 <br /> 9. a. Handling of excavated s it (Contaminated Soil Hazardous Waste Hauler): <br /> Name_ /�f/ + Hauler Registration # Phone {� <br /> Address City Zip <br /> b. If soil is not to be hauled, describe what will be done with it: <br /> 4 of 6 <br />