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kv� <br />5 Decontamination Procedures: <br />a Will piping be decontarn-inaled prior to fernova;� YES NO f v 14 <br />Th§ <br />b, Identify contractor performing decontamination <br />Name pnore <br />Address <br />Ity <br />Zip <br />c Describe method to be used for decontarnmaiion <br />Tr,'A I e <br />d Describe haw rinsate material will be stored onsite prior tc�, Manifesting <br />t A of'site <br />v <br />e Rinnate Hauler and permitted Treatment, Storage & Disposai Fac.jiif',,r <br />Nadler Name 'LV, <br />,!!!��hone '116 314 1 I'll <br />Address j515a ateRegg <br />R'4 <br />Permitted Disposa) Site <br />1) Piping Hauler <br />Name <br />Address —11'75 v", <br />Hauler Registration ft (if hauled as hazard, <br />Piping Disposal Site <br />Name <br />Address <br />EPA ID# of transported to a perm "ed TSD <br />Is the sampling firm an inae er54 <br />Phone BCC <br />ty <br />Pnone <br />- - - -------- - --,- Zip <br />l" -M/irtipaity;rOrnTrec,r,n,ral,io,-'/ <br />a Identify sampling firm, YES <1' NO 1� <br />Narne v", <br />P j <br />C <br />Address L4 <br />b Identify laooraiory perforhiqng anaiysis qy zip! _ <br />Name Le-tJ <br />62LLISZ,! 5-�L— 1: none <br />Address <br />8 Describe. in deta,; <br />ho,,g the soil and"o? water sampie(s j oerr--MM the piping or dispenser,,VOI be obtained <br />C <br />a, Handling of xcpvatec S011 (COntanliriated Soo Hazardous'V'Vaste H,,IUet J <br />Name, Hauler RegistrationPhorle i <br />Address <br />0 If soil isnot tobe nmjaAkj . ..... — iAY 71p <br />escribe W1 'at whil be done Vomit <br />Je <br />