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/ <br />� PHS-EHD - UNDE' 7ROUWD TANK CLOSURE/ADANDO^ '�NT INSPECTION <br /> (SHADED AREA J BE FILLED IN FOR THE FI. C TANK ONLY) <br />| OWNER NAME OWNER PHONE # <br /> INSPECTOR C 14ul± DATE TANK # 39 1541r <br /> N RINSATE DISPOSAL SITE <br /> E MANIFEST # -OR- OTHER <br /> V VAPORS PURGED 6>N) METHOD AMOUNT USED <br /> p L. E. L. READING AT REMOVAL (MUST BE < 20%) <br /> N TERIAL QE!11-:E�L FIBERGLASS, OTHER) TANK SIZE <br /> 0 TANK CONDITIONQE� POOR, HOLES) <br /> S PIPE MATERIAL (!��EL FIBERGLASS, OTHER) # FEET <br /> P T -- I k'' j <br /> I PIPING CONDITION (GOOD, POOR, HOLES) <br /> G DEPTH SOIL TYPE OBSERVATION SAMPLE 4 <br /> S EXCAVATION SIZE: X X YDS OF SOIL: <br /> I A DEPTH SOIL TYPE OBSERVATION SAMPLE # <br /> 0 H DEPTH TO G. W. : FT <br /> SAMPLING METHOD <br /> 0 # OF HOURS SINCE DEWATERING: <br /> 0 OTHER SAMPLE: <br /> LABORATORY: SAMPLERS NAME: <br /> CLOSURE IN PLA URE: VOLUME: <br /> EH 23043 ( 10/89) DRAW SITE MAP ON REVERSE <br />� <br />| <br />| <br />' <br /> j <br />� . <br />/ <br />