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5. Decontamination Procedures: N, <br /> a. Will piping be decontaminated prior to removal? YES[) NO [] <br /> b." Identify contractor performing decontamination: <br /> Name Phone(_) ^ r D <br /> Address City G <br /> c. Describe method to be used for decontamination: OCT 0 6 2017 <br /> d. Describe how rinsate material will be stored onsite prior to manifesting offsite: ENVIRONMENTAL HEALTH <br /> DEPARTMENT <br /> e. Rinsate Hauler and permitted Treatment, Storage& Disposal Facility: <br /> Hauler Name Phone (_) Hauler Reg# <br /> Address city Zilp <br /> I <br /> Permitted Disposal Site <br /> 6. a. Describe the method that will be utilized to purge and/or inert the piping: <br /> b. Piping Hauler: <br /> Name Phone(_) <br /> Address City Zip <br /> Hauler Registration# (if hauled as hazardous) <br /> i <br /> c. Piping Disposal Site: j <br /> Name Phone O <br /> Address city lip <br /> EPA ID# (if transported to a permitted TSD facility) <br /> 7. Is the sampling firm an independent third party from the contractor? YES[] 110 [] <br /> a. Identify sampling firm: <br /> Name Phone(_) <br /> Address city Zip <br /> b. Identify laboratory performing analysis: <br /> Name <br /> Phone( ) � <br /> Address city { Zip <br /> 8. Describe, in detail, how the soil and/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, describe what will be done with it: <br /> EH230038(revised 7-26-2016) 4 <br />