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PHS-EHD - UNDERC UND TANK CLOSURE/ABANDONMbmlT INSPECTION <br /> (SHADED AREA TrBE FILLED IN FOR THE FIRST TANK ONLY) <br /> 2 ,A <br /> EOW <br /> IN NER NAME OWNER PHONE # <br /> E CONTRRCTOR � Gu n Meta CON. PHONE# �ZS�>C�yg_�12`i <br /> i <br /> R SJLHD PERMIT # EPA # - MIT # Ois`ea L <br /> A FIRE PER <br /> 1' - <br /> L <br /> INSPECTOR DATE 5/i �9C� TANK # 39 <br /> R RINSED (Y/N) METHOD RINSE RMUUNT <br /> I TriQkIY'QCU <br /> N RINSATE DISPOSAL SITE <br /> S r,� r v ices <br /> E MANIFEST # -OR- OTHER <br /> V VAPORS PURGED (Y/N) METHOD <br /> A (-� ce- AMOUNT USED 'S l <br /> P L. E. L. READING AT REMOVAL (MUST RE ( 20%) <br /> 0 <br /> T R COMMENTS <br /> A <br /> N TANK MA"fERIAL TEEL FIBERGLASS, OTHER) TANK SIZE �( C� <br /> K C <br /> / 0 TANK CONDITION (GOOD, P00 HOLES) 5h <br /> N ght CorrCIS,pn pXidg - <br /> S F'IF'E MATERIAL (STEE FIBERGLASS, OTHER) # FEET 5 <br /> G T <br /> I PIPING CONDITION (GOOD POOR, HOLES) <br /> N <br /> G DEPTH SOIL TYPE OBSERVATION <br /> T SAMPLE # <br /> F A - <br /> I N <br /> E K p �� <br /> D EXCAVATION SIZE: <br /> S X X YDS <br /> OF SOIL : <br /> I A DEPTH SOIL TYPE OBSERVATION <br /> N M G SAMPLE # <br /> S P I e tt <br /> P L P <br /> E I E <br /> C N <br /> T G TRENCH DIMENSION X <br /> I X YDS OF SOIL <br /> — <br /> 0 H DEPTH TO G. W. ; <br /> N FT SAMPLING METHOD <br /> 0 # OF HOURS SINCE DEWATERING: <br /> 0 OTHER SAMPLE: <br /> LABORATORY; `con%z SAMPLERS NAME : <br /> CLOSURE IN PLACE MIXTURE: VOLUME: . <br /> EH 23043 ( 10/89) DRAW SITE MAP ON REVERSE <br />