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a- Describe the method that will be utilized to purge endjor inert the t"sy <br /> b, T Hauler; <br /> Name n C' <br /> ;fie IZ <br /> Address I City--'8n&-h'e n <br /> LI ZIP Z. <br /> 7- j - <br /> Phone N94 714- 5-7Z-it'7 -7 <br /> RatilerRegistradon Opt hauled as hazardon)....... <br /> C. T Disposal Site: <br /> Name <br /> Address city Zip <br /> Phone No.( <br /> RPA MO(if transported to a permitted TSD faclUty)- <br /> 9. Is the sampling firm an in dent third party from the contractor? YESVN011 <br /> 22. Describe,in detalk how the sail andlor water sample(s)beneath the ta*iPIPIng btaln :- <br /> ad oed <br /> c-0 IU du-C7-4eb c�,S(eV t c, A)4�*vcl 4?(j�'E/Z ctivO <br /> e-T-e-1 L <br /> III. Describe how the excavation will be backfilled with suitable material upon remove. <br /> 11. Handling of excavated soil: <br /> a) at material will be used to Has the tank pit and cover the stodqft? <br /> 4e coVele 6 V,,r e I?AJ <br /> b) at will be the final destination of the excavated stodMUe? <br /> A <br /> G�M,C,0-1 352-51 Old 6k'41;rle, 3L kWeM&n &� <br /> I J " <br /> c)Contaminated M Hazardous Waste Hauler q3Z3q <br /> Name RaularRelilsftdotif <br /> Address Cjt)�—ZIP— <br /> Phone No.L <br /> 1111230460tevisedMI8 e 5 <br />