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11123/01 Gs? <br /> R J of l?3/10 cs� <br /> 5. Decontamination Procedures; <br /> a. Nil piping be decontaminated prior to removal? YES)4 NO[] <br /> b. Identify contractor performing decontanrfnaticn_ <br /> Name Shaw enJir"Mnl Phone5L6 ) " 1 <br /> Address 4C ;to R city &c Zzjp q4-9Z0 <br /> c. Describe method to be used fa decontamination: <br /> d. Describe how rinsate material will be stored onsite prior to manifesting offsite: <br /> Vo Conn. <br /> e. Rinsate Hauler and permitted Treatment,Storage&Disposal Facility: <br /> hauler Name_ Gtgwe'a^ C , C Phone5( r0) S' O Hauler Reg# <br /> Address city Vt C Zip--115W <br /> Permltted Disposal Site Ec do CNLj 14,XV-CY <br /> 6. a. Describe the method that will be utilized to purge and/or inert the piping: <br /> "'t, &0_ ;..tri aas sc>c s n; roy1 � <br /> T <br /> b. Piping Hauler: <br /> Name Phone(610)'235'-M3 <br /> Address ZSR rr [ city P-,LA~J,CA zipJ48'01 <br /> Hauler Regletration#(If hauled as hazardous)__ C*D 98ZQ32jf}l_. <br /> c. Piping Disposal Site: //�� <br /> Name Co.V 1,4X `i�S Phone(516) 23S-1313 <br /> Address 555 Nrr 91J. city. Aan�xW �Zip `14-84( <br /> EPA[!a#(If transported to a permitted TSD facility) 14 Z. <br /> 7. is the sampling firm an Independent third party from the contractor? lUA YES NO[I <br /> a. Identify sampling firm: <br /> Name�Skc"ft &V,feln _ _ PhoneC5LOJ_ 2EZ-65 '7 <br /> Address 4005 Fy t Ck.,Cm:5E hu;* city C C>Arord Zip q+tao <br /> b. Identify laboratory parformtng analysis: p <br /> Name t crab n Ara[ 1-�cs"C Phone C242) 75Z-g2&2. <br /> Address VJ1 Pa53 Read city Rats ka Zip 945b� <br /> B. Describe,in detail,how the soil andlor water sample(s)beneath the piping or dispenser will be obtained: <br /> aCiCerj.%'Ce Wt i rAlwC&R <br /> ,rtes ----� Seca r 1 ra se saws fF Sk&J Fr41+'tAn lrc .(c <br /> 9, a. dandling of excavated soil(Contaminated Soil Hazardous Waste Hauler): NA <br /> Name !i JS Hauler Registration#t 098 6301$hone '"f0 Z3S"13`13 <br /> Address 25S am 61,1J. city, F-i e- zip c( ,TO] <br /> b. If soil is not to be hauled,describe what wlIt be done with It: <br /> i& SdA ;5 CQ 0A Wilk k Pdlr bad t',. excad,.�ie,-,-- <br /> 3 <br />