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SANJ O A Q U IN Environmental Health Department <br /> — COUNTY— <br /> . 1i <br /> c. Describe method to be used for de� amination: <br /> its IL,M Joh r �� "ori <br /> d. Describe how rinsate materiared onsite prior to manifesting offsite: <br /> €NIVIRONM ��T!\L H '=ALTH <br /> DEPA IIAENT <br /> e. Rinsate Hauler and permitted Treatment, Storage & Disposal Facility: <br /> Hauler Name Phone (_) Hauler Reg# <br /> Address City Zip <br /> Permitted Disposal Site <br /> 6, a. Describe the method that will beut liz@d.[o purge and/or inert the piping: <br /> b. Piping Hauler: <br /> NamePhone (_) <br /> Address City Zip <br /> Hauler Registration # (if hauled as hazardous) <br /> c. Piping Disposal Site: <br /> Name Phone (_) <br /> Address City Zip <br /> EPA ID# (if transported to a permitted TSD facility) <br /> 7. Is the sampling firm an independent third party from the contractor? YES [ I NO [ I <br /> a. Identify sampling firm: <br /> Name Phone(_) <br /> Address City Zip <br /> b. Identify laboratory performing analysis: <br /> Name Phone (_) <br /> Address K 7 City Zip <br /> 8. Describe, in detail , how the soil an /or water sample(s) beneath the piping or dispenser will be obtained: <br /> 9. a. Handling of excavated soil (Contaminated Soil Hazardous Waste Hauler): <br /> Name Hauler Registration # Phone (_) <br /> Address City Zip <br /> b. If soil is not to be hauled, describq what will be done with it: <br /> 4ofe <br />