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UUcuoign Grlveiope[U: r•r-ooiu3NiSy44rU <br /> 5. Decontamination Procedures: <br /> a. Will piping be decontaminates for to removal? YES [I N ] <br /> b. Identify contractor performing decontamination: <br /> Name Phone <br /> Address city .. D <br /> REG <br /> c. Describe method to be used for decontamination: DEC 2 7 2016 <br /> d. Describe how rinsate material will be stored onsite prior to manifesting offsite: ENUIR�NNIEHEALTHONMEDEPARTMENT NTAL ALHEALTH <br /> e. Rinsate Ha er 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' e 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 /> 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 [] NO [] <br /> a. Identify sampling firm: �\ <br /> Name 1_�ne( ) <br /> Address City\ Zip <br /> b. Identify laboratory performing analysis: \ <br /> Name Phone O <br /> Address City_ Zip <br /> 8. Describe, in detail, how the soil and/or water sample(s)beneath the piping or dispenser wf I e 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 />