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SANJOAOUIN Environmental Health Department <br /> x. 00UNJY <br /> c . Describe method to be used for decontamination : <br /> rrtjo <br /> d . Describe how rinsate material will be stored onsite prior to manifesting offsite : <br /> byu� fZ' + �N "' - E4_I , r kms �i_. � '.w` � 11 '4 t7 �r G <br /> e . Rinsate Hauler and permitted Treatment, Storage & Disposal Facility : <br /> Hauler Name 00100AYasy l "fg'h ne 73 � Hauler Reg# '3 <br /> Address Poo Gc.;j�t- 3 City P P -Iall' Zip <br /> Permitted Disposal Site <br /> b 4� c� a � `"7 3 ;,�, � �a �= r 4,� ��• a t� :r�vrJ , G'- f� �i 5� �� (�/�r- �� r ���:�� b �� .� �- <br /> 6 . a . Describe the method that will be utilized to purge and/or inert the piping : <br /> b . Piping Hauler: <br /> Name h m 6lnu ti � s� , Oma..- Phone ( � " ) <br /> Address PV 34:°iX 340 City 0C Zip 4531 .s <br /> Hauler Registration # ( if hauled as hazardous) <br /> c. Piping Disposal Site : <br /> Name Dim Phone ( <br /> Address `'73oe? 4 o-0 xry "� LLdaY City ;we)kjZip s ' <br /> EPA ID# ( if transported to a permitted TSD facility) <br /> 7 . Is the sampling firm an independent third party from the contractor? YES pr NO [ ] <br /> a . Identify sampling firm : <br /> Name f�o 'r' ,+ ,� �,� � . � ,� Phone( Lpssss ) fit <br /> MINE <br /> Address 3 '7 50&0 P . o c City 5` t =rce Zip gS"zU5 <br /> b . Identify laboratory performing analysis : <br /> Name Oi-po-A CT10'7 C CvZOP Phone 0562) f3j)q <br /> Address « 7A43 CSL 1XDr City G Os Zip e>' &*�7G3 <br /> 8 . Describe , in detail , how the soil and/or water sample (s) beneath the piping or dispenser will be obtained : <br /> Sf Y► wy�. a £ T ua us 4%)& 14M45;MV 5 two ( -ue€� camL s:r. 1WWV <br /> 2 0� b lLc .c> 5 Pj+ " t-.cat, a C L rsa*" .nj C Xs 9 99 ed j <br /> 9 . a . Handling of excavated soil (Contaminated Soil Hazardous Waste Hauler) : <br /> Name tP � ��' ¢���� Hauler Registration # 3G� Phone U q g +Z � Vf204> <br /> Address 4�4� lve WN, ta� qA City Sro� �>� Zip gTxt ;g <br /> b . If soil is not to be hauled , describe what will be done with it : <br /> PTd �M�v�r� ��- �° 5�^ �5 Ps�`:rr-� r' �'€� •r'� � G r�'�`�c� P --�€.� <br /> 4of6 <br /> i <br /> 1 <br /> k <br />