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a. Will piping be decontaminated prior to removal? YES A NO <br />b. Identify contractor performing decontamination: <br />Name A6LM4,j' is Sej-VLa Phone Q" L- 5 5 42 1 <br />Address -1 I -)r. City..S 11C L,' M:) Zip e ZL' <br />i <br />c. Describe method to be used for decontamination-, <br />IM11 MOVE I MGM�� <br />Va L' 11-L& fl= <br />e. Rinsate Hauler and permitted Treatment, Storage & Disposal Facility: <br />Hauler Name &r"L,� �-'n yiM322irjWPhone (fj� 3 4-1 -5 4:! <br />Hauler Reg# <br />Address -1 VU' a(A, City W �Ofi'LeNnitip !I SI�'_tllj <br />Permitted Disposal Site garn S�j Ln w ail 23.en irQ <br />«111IM1111 P111111IT111111 - - 0 0 <br />b. Piping Hauler: <br />Name l C. Phone <br />Address 1)75 V I VA, LtJjgW city 'Aj '2'. C Zip al <br />30G��� <br />Name tkrlk=iic�,Vn <br />Address city Zip <br />EPA IM (if transported to a permitted TSD facility) <br />7. Is the sampling firm an independent third party from the contractor? YES :O 1 <br />a. Identify sampling firm: <br />flame Phon <br />Address <br />b. Identify laboratory performing analysis: <br />Name <br />City <br />WA <br />MM <br />S. Describe, in detail, how the soil and/or water sample(s) beneath the piping or dispenser will be obtained: <br />N I pl- <br />9. a. Handling of excavated soil (Contaminated Soil Hazardous Waste Hauler): <br />Name t�lzq: Hauler Registration # Phone <br />Address City <br />b. If soil is not to be hauled, describe what will be done with it: <br />4 <br />r=NVI ROIN' M E <br />