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SPSEP.17.2803 112:18PM PILI NEP, CONSTRUCTION NO. 198 P.3i4 <br />15:1 b lb�4E yj h Il IH hLULNPAGE P * ; <br />Hauler Registration # <br />Address city ZIp <br />Parmitted Disposal Site <br />�• a. Describe the method that will be utilized to purge and/or Inert the plping., <br />Z� I;.-® k 74,4 "6141 M-AACYC e- fiFtI4 a " -- <br />b. Piping Hauler: <br />Narne ,6 C.Z' <br />Addresses ?^aa ,Lvp City LMEW_ Zip 1 Y801 <br />Phone 4,710) Z35- ISM <br />Hauler Registration #i (if hauled as hazardous)_ GAti Q ZCa-71DI7 <br />C. Piping Disposal Site; <br />Name_,' S'G1 Phone (51b�.) ZaS-* <br />Add cess- s 5 ?Aee & 3�i <br />� oih+� Zip9��'67 <br />EPA ID# (if transported to a permitted TO faclllty) CIAD� �Z Z _ <br />8. Is the sampling firm an independent third party from the contractor's YES W NO[] <br />9. Describe, In detail, how the soil and/or water samples) beneath the piping or dispenser wl <br />be obtained: <br />Z %t" „ Iter. <br />10. Handling of excavated soil: <br />a) Contaminated Soil Hazardous Waste Hauler. <br />Name. Hauler Registration # <br />Address City �. Zip_, „r <br />Phone L_) <br />b) If soil is not to be hauled, describe what will he done with It: <br />3 <br />