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11/23/15 11:52AN BZ Service Station Maintenance 916-572-1050 P.05 <br /> RECEIVED <br /> 5. Decontamination Procedures' <br /> V 2 3 <br /> a, Will Piping be decontaminatedmNO2015 prior to removal? YES() NO[] <br /> b, Identify contractor performing decontamination: <br /> NamePhone ENVIRONMENTAL <br /> Address <br /> mf raaC% <br /> CRY zip <br /> 0. Describe method to be used for decontamination: <br /> d. Describe how rinsate material will be stored onsite prior to manifesting offsite: <br /> e, Rinsate Hauler and permitted Treatment, Storage&Disposal Facility: <br /> Hauler Name <br /> --PhOrle HaAr <br /> Address City Zip <br /> Permitted Disposal Sitis <br /> 6, a. Describe the method that will be utilized to purge and/or inert the pipiq6: <br /> b, Piping Hauler: 7Z <br /> Name Phone <br /> Address City—­­—,Zip <br /> Hauler Registration#(If hauled as hazardous).,. —_ <br /> c, Piping Disposal Site, <br /> Name Phone <br /> Address City Zip <br /> 'Z <br /> EPA lD#(if transported to a permitted'I'S facility) <br /> 7, Is the sampling firm an ind"ndent third p y from the contractor? Y115H NO[] <br /> I <br /> a, Identify sampling firm, rt <br /> Name <br /> Address--­— City dip <br /> b, Identify laboratory psrfarrttin. analysis: <br /> Name_. ... .Phone <br /> Address City Zip <br /> 8. Describe, In detail,hoV6e soil and/or water sample(s)beneath the piping or dispenser will be obtained: <br /> 9. a. Handling 0(excavated soil(Contaminated Soil Hazardous Waste Hauler): <br /> Name Hauler Registration# Phone <br /> Address City Zip <br /> b. If soil is not to be hauled,describe what will be done with it: <br /> 4 <br /> ..........".-......................I............ .......................... <br />