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PHSAEHD — UNDF-7,ROUND TANK CLOSUREIABANDC ENT INSPECTION <br /> {SHADED AREF, 0 BE FILLED IN FOR THE FI—T TANK ONLY} <br /> ,f <br /> OWNER NAME OWNER PHONE # <br /> E <br /> N f CONTRACTOR CON. PHONE# <br /> E <br /> R f SJLHD PERMIT # EPA # FIRE PERMIT # <br /> rrffff7t/!/)j/7j/�jJ(7/j/j/J .r, <br /> A t � J1rdFJJe(t!!lllJtl J ll• <br /> INSPECTOR ? �� DATE 1 � TANK # 39 <br /> R RINSED { IN} METHOD RINSE AMOUNT <br /> I t � <br /> N RINSATE DISPOSAL SITE <br /> E MANIFEST # —OR— OTHER <br /> V VAPORS PURGED( {Y N} METHOD AMOUNT USED <br /> A <br /> P L. E. L. READING AT REMOVAL {MUST <br /> 0 <br /> j T R COMMENTS <br /> A <br /> N TANK MATERIAL TEE <br /> K C FIBERGLASS, OTHER} TANK SIZE <br /> I 0 TANK CONDITION GOOD, POOR, HOLES) <br /> N <br /> j S PIPE MATERIAL STEE , FIBERGLASS, OTHER) # FEET <br /> P Ts14^4 <br /> I PIPING CONDITION {GOOD, POOR, HOLES} <br /> N - 2 <br /> I <br /> G DEPTH SOIL TYPE OBSERVATION SAMPLE # <br /> T <br /> j F <br /> I N <br /> E K <br /> L <br /> D EXCAVATION SIZE: X XYDS OF SOILS <br /> S <br /> I A DEPTH SOIL TYPE OBSERVATION <br /> N M P SAMPLE # <br /> S P I <br /> P L P <br /> E I E <br /> C N <br /> T G TRENCH DIMENSION XX YDS OF SOIL <br /> I <br /> — L <br /> 0 H DEPTH TO G. W. : FT SAMPLING METHOD <br /> N v <br /> D # OF HOURS SINCE DEWATERING: <br /> 0 OTHER SAMPLE: <br /> LABORATORY: � � SAMPLERS NAME: <br /> CLOSURE IN PLACE MIXTURE: I VOLUME: <br /> H 23043 ( 10/89) DRAW SITE MAP ON REVERSE <br />