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0 <br />5. Decontamination Procedures: <br />a. Will piping be decontaminated prior to removal? <br />b. Identify contrac r performing decontamination: <br />Name <br />Address <br />c. Describe method to be use for decontamination: <br />• <br />J ' <br />1. NO [ l <br />,JUN 2 2 2016 <br />Phope (= <br />wwir"e�traq��l�y _. <br />d. Describe how rinsate material will b)kstored onsite prior to manifesting offsite: <br />e. Rinsate Hauler and permitted Treatment, tora <br />Hauler NamePor <br />Address <br />Permitted Disposal Site <br />6. a. Describe the method that will be utilized to purge <br />& Disposal Facility: <br />Zip <br />Hauler Reg# _ <br />City Zip <br />inert the piping: <br />b. Piping Hauler: <br />Name <br />Address ity Zip <br />Hauler Registration # (if hauled as hazardous) <br />c. Piping Disposal Site: <br />Name Phone ) <br />Address City <br />EPA ID# (if transported to a permitted TSD facility) <br />7. Is the sampling firm an independent third party from the contractor? YES [ <br />a. Identify sampling firm: <br />Name Phone(_) <br />Address City <br />b. Identify laboratory performing analysis: <br />Name Phone �) <br />Address City <br />8. Describe, in detail, how the soil and/or water sample(s) beneath the piping or dispenser will bE <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 />NO [ <br />Zip <br />Zip <br />Zip <br />ined: <br />F <br />