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Hauler Regi ion # <br />Address <br />0 <br />—City <br />M <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 <br />C. <br />Address City <br />Phone () <br />Hauler Registration # (if hauled as hazardous)_ <br />Piping Disposal Site: <br />Name <br />Zip <br />Phone (_) <br />Address City Zip <br />EPA 113# (if transported to a permitted TSD facility) <br />8. 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 />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 />Zip <br />