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C <br />r <br />r� <br />u <br />c. Piping Disposal Site: <br />Name Con"l �4�6f'dGS Phone ) 2.3.E "139:3 <br />Address Parr [ city Tip' <br />EPA ID# (if transported to a permitted TSD facility)_ l0Oq 4(06,j`3;- <br />7. Is the sampling firm an independent third party from the contractor? YES NO [ ] <br />a. Identify sampling firm: <br />Name 5l�w 1C1) anen Phoned t G�) 2 - c� <br />AtjijrC55 <br />SOOT POrL- C.W city Gt'�a Zip /4.52.0 <br />b. Identify laboratory performing analysis: <br />Name Kc)C�,m 64 W C Phone T� 2S - `32— <br />Adds a a 1t t1 `r' SS plo? city t; Sho moi- zip <br />B. Describe, in detail, how the sail and/or water sample(s) beneath the piping or dispenser will be obtained: { <br />9. a. Handling of excavated soil (Contaminated Sal Hazardous Waste Hauler): I j <br />Name —Hauler Registration #1 Phone ( <br />Address _ City - - Zip _ <br />b. If soil is not to be hauled, describe what will be done with it: <br />3 <br />5. Decontamination Procedures: <br />a. Will piping be decontaminated prior to removal? YES NO[] <br />b. <br />Identify contractor performing decontamination; <br />Name Sh acc? Er �o�, eY+er1 t Phone)2-� <br />Address �I, Chi f�i � city Zip <br />c. <br />Describe method to be used for decontamination: <br />d. <br />Describe how rinsate material will be stored onsite prior to manifesting offsite: <br />55 5W lion <br />e. <br />Rinsate Hauler and permitted Treatment, Storage & Disposal Facility: <br />Hauler Name Of JnC. Pyne St 10 ...15. _ 400 Hauler Reg# C 1 <br />Address &290-- ss a Ave.. city e«;x34. Ck zip <br />Permitted Disposal Siteccsac �natis tri S <br />6. a. <br />Describe the method that will be utilized to purge and/or inert the <br />t <br />4piping: / f , <br />84 -all FS C Q T 1, d rue.< rJ w4Lj d fiV L 4 t``� 1 Ct -1 <br />b. <br />Piping Hauler. <br />r <br />Name F_co �c 05L- "i e5 PhoneI(?(? <br />Address S� fii�rr B1,)� >. city a. (' zip 94�Q1 <br />d <br />Hauler Registration # (if hauled as hazardous) CAD 9XZ0101_13 <br />C <br />r <br />r� <br />u <br />c. Piping Disposal Site: <br />Name Con"l �4�6f'dGS Phone ) 2.3.E "139:3 <br />Address Parr [ city Tip' <br />EPA ID# (if transported to a permitted TSD facility)_ l0Oq 4(06,j`3;- <br />7. Is the sampling firm an independent third party from the contractor? YES NO [ ] <br />a. Identify sampling firm: <br />Name 5l�w 1C1) anen Phoned t G�) 2 - c� <br />AtjijrC55 <br />SOOT POrL- C.W city Gt'�a Zip /4.52.0 <br />b. Identify laboratory performing analysis: <br />Name Kc)C�,m 64 W C Phone T� 2S - `32— <br />Adds a a 1t t1 `r' SS plo? city t; Sho moi- zip <br />B. Describe, in detail, how the sail and/or water sample(s) beneath the piping or dispenser will be obtained: { <br />9. a. Handling of excavated soil (Contaminated Sal Hazardous Waste Hauler): I j <br />Name —Hauler Registration #1 Phone ( <br />Address _ City - - Zip _ <br />b. If soil is not to be hauled, describe what will be done with it: <br />3 <br />