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7 <br />11 t �4/ Lt7b4 by: i'L 1b�4bti�4d 3 h II- I H t-LUUX F'AUL b5 <br />Hauler Registration # <br />Address city Zip-- <br />,, _ . Disposal <br />a. Describe the method that will be utilized to purge and/or inert the piping: <br />• s i <br />Name <br />Address City Zip <br />Hauler Registration # (if hauled as hazardous <br />C. Piping Disposal Site: 1 <br />Name <br />P one <br />Address <br />City Zip <br />EPA 1D (if transported to a permitted TSD facility] <br />8. Is the sampling firm an independent third party from the contractor? YES [ ] NO ] <br />g. 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 Hauler Registration <br />Address City. <br />Phone (_,} <br />b) If soil is not to be hauled, describe what will be done with it: <br />L <br />