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jt 1'1 ( � I Environmental Health Department <br /> SKJ_�. C O U N IT�Y- '--- <br /> c. Describe method to be used for decontamination . <br /> Triple rinse 12" of pipe <br /> d . Describe how rinsate material will be stored onsite prior to manifesting offsite : <br /> Rinsate to be placed in on site waste barrel for future pick up <br /> e . Rinsate Hauler and permitted Treatment, Storage & Disposal Facility: <br /> Hauler Name Stericycle Environmental Solutionsphone9( 16 ) 351 -0980 Hauler Reg# <br /> Address 11855 White Rock Rd City Rancho Cordova Zip 95712 <br /> Permitted Disposal Site 7850 R.A Bridgeford St Stockton Ca 95206 <br /> 6 . a . Describe the method that will be utilized to purge and/or inert the piping : <br /> Nitrogen <br /> b . Piping Hauler: <br /> Name N/A See Above (C) Phone ( ) <br /> Address City Zip <br /> Hauler Registration # ( if hauled as hazardous ) <br /> c . Piping Disposal Site : <br /> Name N/A See Above (C) 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 [ ] N4 [ ] <br /> a . Identify sampling firm : <br /> Name N/A Phone( <br /> Address City Zip <br /> b . Identify laboratory performing analysis: <br /> Name N/A 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 /> No Soil Impacted <br /> 9 . a . Handling of excavated soil (Contaminated Soil Hazardous Waste Hauler) : <br /> Name N/A Hauler Registration # Phone (_) <br /> Address City Zip <br /> b . If soil is not to be hauled , describe what will be done with it: <br /> Peagravel to remain - no product leak to peagravel <br /> 4of6 <br />