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01/25/2002 10:09 20946*3 FIFTH FLOOR PAGE 04 <br />Hauler Registration # <br />- ---- — - - Address _ _ - -- - --- <br />City_ Zip <br />Permitted Disposal Site <br />7. a. Describe the method that will be utilized to purge and/or inert the piping: NJ, <br />b. Piping Hauler: <br />Name <br />Address <br />Phone (_) <br />City <br />Hauler Registration # (if hauled as hazardous <br />C. Piping Disposal Site: <br />Name Phone ( <br />WA <br />EPA lD (if transported to a permitted TSD facility <br />8. Is the sampling firm an independent third party from the contractor? YES [ ] <br />Zip <br />NO [] <br />9. Describe, in detail, how the soil and/or water sample(s) beneath the piping or dispenser will <br />be obtained: <br />10. Handling of excavated soil: <br />a) Contaminated Soil Hazardous Waste Hauler: <br />Name <br />Address <br />Phone ( <br />Hauler Registration # <br />City <br />b) If soil is not to be hauled, describe what will be done with it: <br />Zip <br />- „- 3 <br />a <br />JAN 25,�:."`;02 . 209-4683433 PAGE . 004 <br />