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03/07/2005 16:17 2094683433 FIFTH FLOOR PAGE 04 <br />Hauler Registration <br />Address city Zip <br />Permitted Disposal Site <br />Descdbe the method that will :e utilized to purgeand/or-piping: <br />b. Piping Hauler <br />Name <br />Addrew______CRY Zip - <br />Phone C_) <br />Hauler Registration # (if hauled as hazardous) <br />Name Phone ( <br />T Is the sampling firm I an Wependent third party from the contractor? YES NO <br />9. Describe, in detail, how the soil and/or water sample(s) beneath the pil:itng or dispenser Mall <br />be ►s tea <br />l Q. Handling of excavated sad: <br />a) CordarTfinated Sail Hazardous Waste Hauler: <br />Name Hauler Registration <br />3 <br />