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i , r, () 14 1) <br />5 Decontamination Procedures: <br />a. Will piping be decontaminated prior to removal-, YES�( NO <br />b Identify contractor Performing decontamination <br />NameRJQ-*vd®�,�11�Vi�POA�A-4VC-k( �&Cv"W% Phoneilcrt) <br />Address <br />City -n zip <br />c Describe method to be used for decontamination <br />d Describe how rinsate material will be stored onsite prior to manifesting offsite. <br />V ot, V <br />e. Rinnate Hauler and permitted Treatment, Storage & Disposal Facility. <br />Hauler Name ine, 1-14 none 416 - ,3 71 - 5 7'1 <br />4auler Reg# r <br />Address S cj , Yk I Fifa rt,4 <br />City ei 1, p `11566 <br />Permitted Disposal Site <br />6, a. Describe the method that will be utilized to Purge andlor inert the piping <br />b Piping Hauler <br />Name R • —A Phone (&-rd bg w -i <br />Address I X-75- V.'v., <br />Hauler Registration # (if hauled as hazardous) City e�O �414rl � zip —53 -4 -1 -t --i <br />c Piping Disposal Site, <br />Name Phone <br />Address <br />City <br />EPA ID# (if transported to a permitted TSD facility)_ <br />Zip — <br />Is the sampling firm an independent third party from the contractor's <' <br />a, Identify sampling firm YESNO <br />Name 5+c-vr +ec— o' I Phone(:IJ9 C <br />Address 43S - <br />e st- ity Lt��� ZiP5L17 I <br />to Identify laboratory performing analysis <br />Name 'ic&-f cA bopc hy, <br />Phone (bot>) <br />Address 323 Qj 'r City Zip -10 75-5 <br />Describe, in detail, how the soil and/or water sample(s) <br />beneath the piping or dispenser will be obtained <br />Ad <br />50 <br />W <br />IM <br />9 a Handling of exct d soil (Contaminated Soil Hazardous Waste Hauler) <br />pva e <br />Name A/VA — Hauler Registration # Phone <br />Address <br />City <br />b. If Soil m not to be hauled, describe what will be clone with it <br />Zip � <br />