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SAN1 O A Q U 1 N Environmental Health Department <br /> C. 0l_ 1 r,i i Y <br /> c . Describe method to be used for decontamination : <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 (_ ) Hauler Reg# <br /> Address City Zip <br /> Permitted Disposal Site <br /> 6 . a . Describe the method that will be utilized to purge and/or inert the pipin .,\,,, � <br /> b . Piping Hauler: <br /> Name Phone ( ) <br /> Address City Zip <br /> Hauler Registration # ( if hauled as hazardous ) <br /> c . Piping Disposal Site : <br /> Name Phone (_) <br /> Address City Zip <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 Zip <br /> b . Identify laboratory performing analysis : <br /> Name Phone ( ) <br /> Address City Zip <br /> 8 . Describe , in detail , how 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)Q /=l <br /> Name Hauler Registration # Phone ( ) <br /> Address City Zip <br /> b . If soil is not to be hauled , describe what will be done with it: <br /> 4of6 <br />