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Describ the method that will be utilized to purge and/or inert the tanks} <br />Tank/Piping Hauler <br />Name <br />Addre <br />Phone No.( , yo ) a —1"3 q2 <br />Hauler Registration # Of hauled as hazardous)Z-,��3 <br />Tank/Piping Disposal Site: <br />Name <br />Address �yAli l� l gyp Q/ <br />Phone Nod�j�c� <br />EPA D?# (if transported to a permitted TSD facility) Ca D ©0 a7 (0(0 3 �� <br />9. Is the sampling firm an independent third party from the contractor? YES NO [ ) <br />9a. Describe. in detall, how the soll andlor water sample(s) leneath the tank and piping will be obtained: <br />Xaa►/L1 �-� �, �;7u ►�,Qn K //nr= )MI 7MNr CA1ni)46,7, <br />10. <br />Describe how the excavation will be backfilled with suitable material upon removal- <br />PEn <-ezld--z W166 2C 0L tot & WeAA&XII <br />11. Handling of excavated soil <br />a) What material will b used to line the tank pit and cover the stockpile? <br />!ill <br />b) What will be the final destination of the excavated stockpile? <br />c) Contaminated Soil Hazardous Waste Hauler. r� <br />Name Hauler Registration # <br />Address �SS Aw A <br />Phone No. ( 5/O ) y-717" /3q-5 <br />EH 23 046 (Revised 08113199) Page 5 <br />