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PUBLIC HEA-br' SERVICES-MMIRONMENTAL =.�.TH DIVISION <br />SITE NAHE DSD /�60IADDRESSc�/�'0�-� <br />OtWNER NAME <br />O <br />IOWNr.R PHONE r <br />CONTRACTOR / 16j ROO�Piti <br />I CONT. PHONE j <br />FIRE PERU r <br />R,XOV,-CLOSIIRE PLACE TEMPORARY CLOSutZE <br />LVSPECTOR P fi�74 A ✓`7i l' F I TANK # 39 rJ 3 — 102 <br />R <br />RINSE (_/N) <br />OD- RINSE AMOUNT <br />N <br />RINSATE DISPOSAL SITE <br />S <br />- <br />Ili <br />MANIFEST OR CTS" <br />V <br />VAPORS PCRGZD((_/,) <br />aDNT MOUSED <br />a <br />P <br />READING AT Rl_r%jOVaL <br />` L.=.L.: O <br />0 <br />R <br />COMYEliTS <br />C <br />TANK m-ArmI4L. :: =ERGLaSS, O'ER) <br />N <br />TANK CONDITT_ON OD POOR, HOLES) <br />T <br />PIPE YATE27-32, (-MERGIASS I OT -0:."2) <br />T <br />PIPE CONDITICN (GCCO,POOR, HOLES) A)o 1/iA j <br />I <br />S <br />A <br />N <br />(EXCAVATION <br />DEPTH SOIL TI=E I OBSEFVATION I SAMPLE � <br />I <br />a cz <br />SIZE X X 1ZDS OF SOI., <br />M <br />P <br />l <br />P <br />DEPTH SOIL TYPE IOBSMWATION SAMPLE T p <br />I <br />L <br />r <br />I <br />P <br />Y <br />I I <br />I G <br />I I I <br />TRENCH 0L*��.:iSIC3 % X YDS OF SO= <br />H <br />2 <br />DEPTH TO G. W. FT. <br />SAMPLING METHOD <br />r aCURS SINCE OZTATERS�`�G: <br />0 <br />OTHER SAfPLE: S d- A< �E) U402,kaa <br />LAZCRATORY: <br />S?1PL'45 NA2 <br />CLOSURE IN PLACEi <br />,'TORE: <br />I VOLUME: f <br />23-0043 (R.vV 2/23/94) PROVIDE SITE MA -0 <br />