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PHS-EHD -- UNDE40UND TANK ELQSUR /ABANDpt T: INSPECTION <br /> (SHADED AREA BE FILLED IN FOR THE: F `" TANK ONLY) <br /> ER WNER PHONE # <br /> CONTRACTOR CON. PHO E# <br /> E <br /> R S.I'LHD PERMIT # EPA # FIRE PERM I T <br /> + eF� .t <br /> INSOR DATA_ 'Z;�2.? TANK # <br /> R <br /> RINSEDN) <br /> .. RINSE AMCUlNT 5 � <br /> z <br /> N RINSATE DI$PPSAL SITE <br /> MANIFEST # <br /> —QR— OTHER <br /> VAPORSLL... 3 METHC3pf-7 EEE <br /> N T ui3 ,. ° <br /> P­ L. E.L.. RRAPI? AT REMOVAiL. (MUST BE < 0%) <br /> T Cts ' <br /> TAN 4 i �".�3 3C F IBERSLASS, C3TH 2 TANK I E : <br /> �` T3Nt CClt► 9I7IOi P Cld. HOLES) Cayl/Me.-v'-i <br /> N <br /> A;' S 0:1PE A7E R I AL {STEED., FIBERGLASS, 'EITHER) # FEE"I <br /> P T <br /> ` rix <br /> I ' B CCN ITT ON (GOOD, <br /> _ ' 't R, HOLES) � <br /> N <br /> S E TH SOIL TYPE OBSERVATION <br /> SAMPLE # <br /> T <br /> F <br /> E <br /> K <br /> L <br /> EXCAVATION SIZE.- I YDS OF SOIL: <br /> S <br /> I A DEPTH SOIL. TYPE OBSERVATION SAMPLE # <br /> N M <br /> S P I I <br /> P L P, Zx-ary <br /> E <br /> E <br /> T S TRENCH DIMENSION x x YDS OF SEAL <br /> I <br /> Q H DEPTH TO G. W. : FT SAMPLING METHOD "-�- <br /> N 2.> <br /> OF HOURS SINCE DEWATERING: <br /> OTHER SAMPLE: <br /> .« <br /> LABORATORY: l IV f.A:+.w t1 �1 yno <br /> C7.. f"L. S[ AME: <br /> s +.�.+ <br /> L€ �RE I MxTUR I <br /> EH E D DRAW SITE MAP QM REVERSE <br />