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UNDEA40UND TANK CLOSURE/ABANDO^T INSPECTION <br /> (SHADED BE FILLED I N FOR THE: F I <. TANK ONLY) <br /> NERC NAME <br /> E ►W1�1EF AHdiiE <br /> N Et3NT ACTOR <br /> CON. PHONE# <br /> E <br /> .3 LlT PEfM Z EPA # F IT ..;. IT <br /> I N S ECTG <br /> DATE ` TANK � <br /> h RINEId fN31ETHt3t3j�w �' � RINE AMTUTT <br /> N t I NSATE A#., SITE <br /> J <br /> E MAh!I FEST -OR- OTHER <br /> V VAPORs M THO <br /> A AMOUtVT USED <br /> L..E L, READ Z NG AT L. (MUST BE t :`CSX) <br /> U <br /> T COMMENT <br /> A <br /> N TANK MATERIAL. TEE , FIBERGLASS, OTHER) TANK SIZE Wn:7 <br /> TANK COND I T I ON (GOOD, POOR HOLES) <br /> N <br /> E PIPE MATERIAL ST , FIBERGLASS, Oli'll 3 FEET -�� � hn q <br /> I PIPING CONDITIONGOOD,# POOR, HOLES) <br /> N ,fir r <br /> DEATH SOIL. TYPEOBSERVATION <br /> T SAMPLE <br /> E .. <br /> I N , <br /> E K <br /> EXC A. I. EIDE: x <br /> E <br /> ( YOS OF SOT L <br /> A ?ET TT~! I TYTy+ OBSERVATION <br /> S <br /> P L <br /> E : <br /> C <br /> E. <br /> T Gr TRENCH Da. <br /> BENE t3N ..... X X <br /> YDS <br /> I <br /> H L3E�'i!�# T tT Q.�,i. FT SAM +1..I1alt ME .W- -- <br /> N <br /> ®F SINCE ]DEWATEFINC: <br /> C OTHERSAMPLE-7 <br /> e <br /> LABORATORY: <br /> RY: E MPL,E S NAME <br /> CLOSURE IN PLACE MIXTURE: <br /> VOLUME. <br /> EH 224043 10/84 DRAW SITE MAA ON REVERSE <br />