Laserfiche WebLink
2/20/2006 12:49 2094640138 ENVIRONMENTAL '"ALTH PAGE 05/11 <br /> 8. a, tName <br /> e method that will be utilize urge and/or inert the tan (s): <br /> T <br /> i <br /> b. g Hauler: <br /> Address'?'90 City�.� Zip, eC <br /> Phone No.( ZI&I ) 6 3 7a <br /> Hauler Registration k (if hauled as hazardous) <br /> C. Tank/Piping Disposal Site: <br /> Namef�� <br /> Address <br /> Phone No.(�t-Z!q._) — <br /> EPA ID#(if transported to a permitted TSD facility) /A✓ <br /> 9. Is the sampling firm an independent third party from the contractor? YES[1j/ NO (J <br /> 9a. Dcsc1rn� n a hctty th it and or watomple(s)beneath th nk and piping will be obtained: <br /> 10. Describe how the excavation will be backfilled with suitable material upon removal: <br /> C-A� <br /> 11. Handling of excavated soil: <br /> a)What material will be used to Line the tank pit and cover the stockpile? e <br /> .PPA 0a ",u- AWD �o ori i�Ei <br /> b)What will be the final destination of the excavated stockpile? <br /> - ,.,) r i 5s <br /> c)Contaminated Soil HazardousWasteHauler: <br /> Name ?`✓RW AR,Q 14",61 _Hauler Registration 8 <br /> Address Q Q4q AU9rM) city �r0 i ZiP <br /> Phone No. <9fl ) ZD�f may . <br /> T <br /> EH 23 046 (Revised 11/21/06) 5 <br />