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11 <br />5. Decontamination Procedures: <br />a. Will piping be decontaminated prior to removal? <br />b. Identify contractor performing decontamination: <br />Name <br />Address <br />c. Describe method to be used for decontamination: <br />YES[] <br />NO[] <br />FNVIRONMENT <br />Phone ( , 22h <br />City Zip_ <br />d. Describe how rinsate material will be stored onsite prior to manifesting offsite: <br />e. Rinsate Hauler and permitted Treatment, Storage & Disposal Facility: <br />Hauler Name Phone (� <br />Address it, <br />Permitted Disposal Site <br />6. a. Describe the method that will be utilized to purge and/or ine he piping: <br />b. Piping Hauler: <br />Name <br />Address <br />Hauler Registration # (if hauled as I <br />c. Piping Disposal Site: <br />Name <br />Address <br />EPA ID# (if transported to a perm' ei <br />7. Is the sampling firm an independe third <br />a. Identify sampling firm: <br />b. Identify laboratory <br />Name <br />Address <br />8. Describe, in detail, hal <br />TSD <br />ing analysis: <br />from <br />Hauler Reg# _ <br />Zip <br />Phone (� <br />City Zip <br />rnone <br />City Zip <br />YES [ ] NO [ ] <br />_ Phone( <br />City Zip <br />Phone ( ) <br />City Zip <br />the soil and/or water sample(s) beneath the piping or dispenser will be obtained: <br />9. a. Handling of excavated soil (Contaminated Soil Hazardous Waste Hauler): <br />Name Hauler Registration # <br />Address City <br />b. If soil is not to be hauled, describe what will be done with it: <br />EH230038 (revised 12-11-15) 4 <br />Phone (� <br />Zip <br />