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SANAj ! I I Environmental Health Department <br /> COUNTY <br /> c. Describe method to be used for decontamination : <br /> d . Describe how rinsate material will be stored onsite prior to manifesting offsite: <br /> N 19W <br /> e . Rinsate Hauler and permitted Treatment, Storage & Disposal Facility: <br /> Hauler Name / ''rig 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 piping: <br /> Al19� <br /> b. Piping Hauler: <br /> Name Phone O <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 [ ] NO [ ] <br /> a . Identify sampling firm : <br /> Name Alts B? s (/" U �� 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): <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 />