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11/07/202 1aFIFTH FLODF' PAGE C�4 <br /> 0 r ti <br /> Hauler Registratir n # -- <br /> Address r o . Poi', 1 <br /> City-lI7Pt zip <br /> C.�A 4gZlov bras <br /> GP <br /> Permitted Disposal site C 4 � �.. INC-- <br /> V- 5 t� . EL.- <br /> � DR C7� 7 f rGfn 1 <br /> 7. a. Describe the method that will be utilized to purge and/or inert thepip ni g: <br /> =k4 R <br /> t't P J+mak.', OJL <br /> j { '�J ram "T-0�tA N� <br /> b. Piping Hauler: <br /> Name Nl-NV-t— <br /> Address F-d- eoK city_LD! --- Zip c� <br /> Phone <br /> Hauler Registration # ,if hauled as hazardous) Irrl <br /> C. Piping Disposal site: <br /> Marne t� I �rt� L-P-t'j o F=-E L.L.. Phone C'2-�n )a) <br /> Address -'�noP C� { �N _ City - Zi <br /> EPA 110# (if transported to a permitted SSI]facility) C-'A\L000 I, Q <br /> a. Is the sampling firm an independent third party from the contractor?YES NO f) <br /> g. Describe, in detail, how the soil and/or water sample(s)beneath the piping or dispenser will <br /> be obtained: <br /> „QUI L S `c�r� cS tr.111.4.- C7�SCfZ ,acre fps ". r4 �^ <br /> testi P I C^, 'tl` vy f _ <br /> 10. Handling of excavated soil: Cok-t-1 f`n 1 (tet 4-cmq so jo tar's c-k p A'- „ <br /> lSoiL is +l*i , h- wlLj_ � Pl.+�c � 0f�l 4''►Sc0� atj <br /> a) Contaminated Sall Hazardous Waste Hauler: 74cN o C LJOE� 1"q Sp yN)Va S u k7rA L� <br /> A P G,em�Nis ,r A-oe <br /> Name -t-45 5 - - Hauler Registration# <br /> Address City Zip <br /> Phone C <br /> b) if soil is not to be hauled, describe what will be done with it: <br /> PYL-O 2 4 CU. So1L- IS GlpATC�.C� �7 OPP- ' L)L- <br /> 00 r-A 1-- T IQ' <br /> I�o� 1 CA Cl 5r1 S-t. <br />