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GHS—EHO — UNDERGRCUNO TANK CLOSURE/ABANOCNMENT SNSPE07ZON <br /> (SHADED AREA TO 3' -I'LLED IN FOR THE FIRST T, ONLY) <br /> —w. <br /> p�raforrmww�wt��rr6rti�irriiaramivwrufdrGaiirirri <br /> "wwai�pia/urtiwrrrrrrrrirwuirrivwiri�irrruididwvA. I rUidwrrromwwwwww_ <br /> �iic : rT ` HLune�o C ..7 rIr kq <br /> OWNER NAMEOWNER PHONE # <br /> r I vr0Ck 2'89 ' c! .2 — 57x3 <br /> N CONTRACTOR �� I CCN. HN * a-00/- - & ia <br /> c • <br /> R � S,iLHD P£RMIT # ` EPA # FIRE PERMIT # Sc:..c(�„cq <br /> A "NOTEL �,�///�r//y/ i m r iGi /r /GV/GiG ✓d d v�u di rr/ G / .G/Gfidilli��,o�/ <br /> TlUvr �CuSrun`r tom _ jei rc rtr G/iuEi+ [e= �//r/riG��GGlr1r <br /> INSPECTOR C �� DATE /is/9I TANK # 39 — /S <br /> R RINSED C?/N) I METHOD r , /r I RINSE AMOUNT <br /> ZiO - <br /> i i <br /> N RINSATE DISPOSAL SITE <br /> J <br /> E MANIFEST # —OR— OTHER <br /> V VAPORS PURGED GIN) METHCD Wpy ce AMOUNT USED <br /> P L. E. L. READING AT REMOVAL (MUST BE < 20%) <br /> 0 <br /> T R COMMENTS <br /> A <br /> N TANK MATERIAL TEFL FIBERGLASS, OTHER) I TANK SIZE <br /> ,A C <br /> / 0 TANK CONDITION (GOOD, CC HOLES) <br /> S PIPE MATERIAL (STEEL, FIBERGLASS, OTHER) l # FEET <br /> P T <br /> I PIPING CONDITION (GOOD, POOR, HOLES) <br /> N <br /> G I DEPTH I SOIL TYPE I OBSERVATION SAMPLE # <br /> T <br /> A /-t o � UZ V [ rc > [/L UJ <br /> c i � U-c <br /> I N .{ otu F �v 1 i�A <br /> a K a <br /> L <br /> D EXCAVATION SIZE: (f U X /a ` X I YDS OF SOIL: S�Y� <br /> S <br /> I A DEPTH I SOIL TYPE I OBSERVATION SAMPLE # <br /> N M <br /> S P I j <br /> P L <br /> j E ' S4 C[ I Sxk <br /> C N <br /> T G x _ VMS ria cnil <br /> I <br /> 0 DEPTH TO G. W. : FT I SAMPLING METHOD � LssS <br /> U l <br /> 0 # OF HOURS SINCE DEWATERING: <br /> i <br /> 0 OTHER SAMPLE- <br /> LABORATORY: �� � I SAMPLERS NAME: <br /> CLOSURE IN PLACE I MIXTURE: �• VOLUME: <br /> .H 2304,7 (IO/SS) DRAW SITE MAP ON REVERSE . <br />