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S. a. Describe the method that will be utilized prge an inethe tank(s): <br />b. Tank/Piping Hauler. <br />Name S c►L4 �-" I* } N r-.& " <br />City 'J Zip <br />Address <br />Phone <br />ELvger Regisuation # (if hauled as hazardous) <br />C. Tank/Piping Disposal Site: <br />Nam <br />Cityzip <br />Address---------------------- <br />Phone No. 3 Iq 3 <br />EPA JD* (if transported to a permitted TSD facility) ^en, q L4 6- t,.p —5 Iq 2. <br />9. Describe, in detail, how the soil and/or water sample(s) beneath the tank and piping will be obtained: <br />10. <br />Describe how the excavation will be backfilled with suitable material upon removal: <br />11. Handling of excavated soil: <br />a) What material will be used to line the tank pit and cover the stockpile? <br />-- <br />VIS 4 cAff- <br />b) What will be the final destination of the excavated stockpile? <br />c) Contaminated Soil Hazardous Waste Hauler. <br />Name Hauler Registration #__ <br />Zip <br />Address <br />Phone No. ( ..... �]I- 1 �I') <br />Page 5 <br />FA <br />