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PHS -EHD - UNDE(�;20UND TANK CLOSURE/ABANDOiNT INSPECTION, <br /> (SHAMED AREA TO BE FILLED IN FOR THE3FIR5T TANK ONLY) <br /> Wr <br /> E OWNER- NAME � � OWNER 'PHONE <br /> N CONTRACTOR 4Znj CON. PHONE# <br /> E q 0- <br /> RA j <br /> SJLHD PERMIT # EPA # AFIRE PERMIT # <br /> DATES TANK,' # 39 <br /> INSPECTORw - S <br /> sc�.. ( E - <br /> I RINSED ( /N) METHOD &-'t-ad vv— R I SE AM NT <br /> i. <br /> N RINSATE.. DISPOSAL SITE <br /> Si <br /> E MANIFEST # --OR- OTHER <br /> V VAPORS PURGED ((Y/ ) METHOD �' ;I. AMOUNT USED <br /> A <br /> P L. E. L. READING AT REMOVAL (MUST RE < 20i %) <br /> O 11 , 5 <br /> T R COMMENTS I <br /> N TANK MATERIAL (STEEL, FIBERGLASS, OTHER) TANK SIZE1 �Qd <br /> K C <br /> / O TANK CONDITION GOOD POOR, HOLES) < ; <br /> N ��� <br /> � �r <br /> Y S PIPE MATERIAL (STEEL, FIBERGLASS, OTH R) #; F=EET <br /> P T ,4 <br /> I PIPING CONDITION (GOOD, POOR, HOLES) <br /> a <br /> s <br /> G NEXCAVATION <br /> SOIL TYPE OBSERVATION ,{ SAMPLE # <br /> T �� <br /> F <br /> I NJ-1�2 , g w► �' O <br /> E KL �TD SIZE: YL X 3LL X 1:�! YDS OF SOIL: <br /> S h <br /> I A DEPTH SOIL TYPE OBSERVATION <br /> N M P 'i SAMPLE # <br /> k <br /> S P I <br /> P L P # <br /> E I E Qj <br /> C N <br /> T G TRENCH DIMENSION X X YD6S OF SOIL <br /> I <br /> O H DEPTH TO G. W. : c <br /> N 2 FT SAMPLING METHOD <br /> G # OF HOURS SINCE DEWATERING: <br /> O OTHER SAMPLE: f <br /> LABORATORY: �G' SAMPLERS NAME: . <br /> f <br /> CLDSURE IN PLACE MIXTURE: ilL= pVOLUME: <br /> .t EH 23043 (10/89) DRAW SITE MAP ON REVERSE <br />