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,d/16/2005 09:01 2094 3433 EHD ` PAGE 04 <br />Hauler Registration <br />® Address <br />City Zip <br />Permitted Disposal Site <br />7• a. Describe the method that will be utilized t purge and/or inert thei in <br />p P g: <br />b.. Piping Hauler: <br />Name <br />Address <br />City Zip <br />Phone <br />Hauler Registratlon # (if hauled as hazardous) <br />C. Piping Disposal Site: <br />Name Phone <br />Address <br />City .zip _ <br />EPA ID# (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 />AddressCM/Aity Zip <br />b) If soil is not to be hauled, dFscribe what will be done with it: <br />3 <br />