Laserfiche WebLink
F <br />B <br />C. <br />A <br />Hauler Registration # 3 Q'7 <br />r <br />LZi` <br />PermittedDisposal,_y <br />Describe the method that will be utilized to pure and/or inert thepiping: <br />W .-fit e�� k <br />Piping Hauler: <br />Name �OAJ f <br />Addres 61Z C City ,S = Zip �s <br />Phone (_q }z! cf - 353 <br />Hauler Registration # (if hauled as hazardous) <br />Piping Disposal Site: <br />NamPhone <br />Address-45-bo®4I Zip�j''-r, �rt� <br />EPA ID# (if transported to a permitted TSD facility )c >5?16g(o q7 <br />Is the sampling firm an independent third party from the contractor? YES NO [] <br />9. Describe, in detail, how the soil and/or water sample(s) beneath the piping or dispenser will <br />ha nhtninimt+ <br />10. Handling of excavated soil: <br />a) Contaminated Soil Hazardous Waste Hauler: <br />Name Ham. Hauler Registration # <br />b) If soil is not to be hauled, describe what will be done with it: <br />-�- . —.- — .—n—_ .®air n r,% - _ I . % -I- F-'c4E <br />3 <br />