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10. <br />11. <br />3. n. DescrSe the =0 u`.s( will be uLU:rd to pu ;e Et:d'or Inert <br />r)W, lir--• I;IImd �-.j_ <br />b. TEnkPiping Estee: <br />Name IN(-. <br />Addrtss h'-2�7LVl7 City. r�L�' .tc�1rJ Zip VC0 <br />Pbose\o.( S10 I 2 i • ( Zi <br />Majer RegiL-E.�xt r (if hsuled as I:s_srdous) <br />Tsnk,Vpirg D'c .W Site: <br />"ame <br />Address City Zip <br />PhoneSo.( <br />EPA 1Dm (if t-=FNred to a permitted TO Ncillri Cf�ya� i(p6'f�Z <br />Describe, In detsil, how Ll -,e soil nnd%or wster ssmple(s) bere_uh the tsnk End piping H111 be obtsir.r:• <br />za <br />Describe boa the excarnika will be backfilled with suitable mEferinl upon r•emo+al: <br />A GrFAUBL <br />HandlIng of excavated soil: <br />a) Si'hat material Rill be used to line the Sunk pit and cover the stockpile? <br />fi�)�K PIT : `�TD�I�-P1LG <br />b) What gill be the final destination of the =2vated stockDlle? <br />5FI, INC. P -Cr- LLirfiIIl 6L15A+4 rrolL. <br />0 �R��T�F�ILIiY FbP 6L`9� Z A+42 FOPYkti, [Ne r -o F- GLASS]i Cot T/+M1! t�tiUbS�tl <br />C) Contaminated Sot1 Hazardous Waste Aauler. <br />Sam---AFS5,,LLF-F-0 TF LZKINC;1 .�flG. IIsnlerRcgLs 2tIon# 2�of <br />SU Ma 527 <br />Address '�S?D I3��P�`(L"sSSa Pr -7. City 5AN Jo•� Zip'�Sl3Z <br />Pbone To. Ift <br />0 <br />Page 5 <br />0 <br />