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11/ 07/2002 11: 32 2094683433, FIFTH FLOOR <br />PAGE 04 <br />Hauler Registration <br />Address r,6. POx 1-�Ho City S;N-t DP zip <br />Permitted Disposal S iie Cp�,p Gyl INC - 5555 N- <br />7. <br />T• a• Describe the method that will be utilized to purge and/or inert the piping: <br />O'5 PON�t� <br />t�tale Q s3Y NDN p N't a pjd ck-�" P,Np P�`N <br />b. Piping Hauler: <br />Huler: <br />Name �� �?ic6t4s`c'� r`lON <br />Address ( City Lo OI Zp ") <br />Phone <br />Hauler Registration # ;f hauled as hazardous)_ V\ 1 a <br />C. Piping Disposal Site: <br />NameIQ-WLL- Phone eZCP))"J 2-4-25. <br />Address'�Tg9g S. iNJ'srl N (� City M"j]tf -� Zip C> G,5 bf� <br />EPA ND# (if transported to a permitted TSD facility) SAL,. 000 ' C7 <br />8. Is the sampling firm an independent third party from the contractor? YES (V/ NO [I <br />9. Describe, in detail, how the soil and/or water sample(s) beneath the piping or dispenser will <br />be obtained; <br />10. Handling of excavated soil: <br />a) Contaminated Soil Hazardous Waste Hauler: <br />Name 01L- -PRD Hauler Registration #_ 0(p 002130100 -2{ - <br />Address P•0 , ijpx 5 City �jY1�0�1. Zip 6-'S t4 <br />Phone Co - (IOSS0 <br />b) If soil is not to be hauled, describe what will be done with it: <br />3 <br />