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E <br /> •,i <br /> b, FtInsate Hauler <br /> Name Jim Thorpe 011 Inc. <br /> r <br />' Bmfl <br /> Addrd <br /> St11 ate Ca. _- Zip 252 -0215 <br /> City ' _ 7 Ilauter Ilekisiratlolt # 266 <br /> Phone No. <br /> e, Tank/Plping Hauler <br /> Nam'. Sdme as above <br /> Address Stale Zip <br /> City Hauler ftistrallou <br /> phone No. ( � <br /> d, Tank/P1pIIn nDis zer Steel Products <br /> Nat1,e Sc�r,i� <br /> r Address <br /> City Lel A In # <br /> Phone No. (_gJb,...., <br /> e, Contaminated Soil f-Iazardous Waste Hauler <br /> Dillard Trucking <br /> Name , <br /> Address Slate Zil' <br /> City Iluuler neglslrnllu„ # ;� <br /> Phone No. EI)A CAD 98i692BO9 <br /> 4 <br /> of the tank{s). <br /> g, Describe The method for purging and/or inerting ed out. Then An appro- <br /> Tank (e) and line (a) will first be triple rinsed and pumped <br /> rate amount or d i e c <br /> Tank s ill be mo Ito ect far <br /> xesel <br /> r" ry ire will be added at a rate of l5 lbs. and 34 lbs. /i40fl al ca <br /> h. and .gasoline " respectively. <br /> ,as the Ilan! provided the detection Unfits that wi11 be utilized-in the suggested analysis? YESa� NO <br /> 10. . i nP <br /> Describe In detail how the soli andlor water samples beneallt tw�ill'tdi it1dorryegg analii�roximatel will be blainto. e <br /> l 1. D After ttie tank (s) leave been removed we <br /> oto undisturbed a <br /> 1'1iSlEilli-wpr-c+ +ll�i�fe. <br /> ��]�d�jllbe tae ar�lc-Reuwv �a-- . <br /> %Ptl inn <br /> •oto 0 0 <br /> and " Minimum Verification Laboratory Analysis 11 sheets enclosed. <br /> Ix, Describe how the excavation will be backfilled will, suitable material (earth, sand. etc.) upon removal. <br /> Back fill of exca atia i p t�. <br /> of title ro ect dete fila <br /> t 4W1 <br /> that time. Back fill ,nate i ° roce u e re Pes an ens neere� <br /> s an ecce ted material ac e <br /> e sup e as s ilia a ave s e o us y <br /> ctxnpac on F-111111 r w p <br /> `` ens neer ng rm. <br /> Page 5 <br />