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1212612003 <br />C. <br />� 1 <br />VV <br />d. <br />15:54 2094683 FIFTH FLOOR . <br />Uescrnbe method be used for decontamination: <br />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 Phone( <br />Hauler Registration # <br />Address city <br />Permitted Disposal Site ---- <br />7. a. Describe the method that will be utilized to purge and/or Inert the piping: <br />b. Piping Hauler. <br />Name_ i= C1 <br />Zip <br />PAGE 03 <br />Address Zs 5� PA RUC, IAV D, City�tc� rhno� p Zip 94801 <br />Phone [S10 )7-3s-1393 <br />Hauler Registration # (if hauled as hazardous) CAD 962-0-50173 <br />C. Piping Disposal Site: <br />Name �� CT- Phone Seo ) Z35 -- X393 <br />Address FL -A -L)> CCt+A'to--)D Zip 4480 1 <br />EPA ID# (if transported to a permitted TSD facility) L XV> Q09 q"390 Z- <br />S. Is the sampling fine an independent third party from the contractor? YES 4 NO [I <br />9. Describe, in detail, how the soil and/or water sample(s) beneath the piping or dispenser will be <br />obtained: <br />G ►2'T -L-,)au,- <br />3 <br />