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b <br /> PHS-EBD - UNDERGROU�' ) TANK CLOSURE/ABANDONMENT NSPECTION <br /> (SHADED AREA TO E y7I�yL�LED�yIN� FOR THE <br /> y�yFIRST <br /> T�jrrw.KONLY) <br /> oi4�11v�Jii�']v r r <br /> OWNER NAME OWNER PHONE 0 <br /> E <br /> N CONTRACTOR EM G G7 CON. PHONE# <br /> gg i <br /> E y� SZ - /6S3 '• <br /> AF SJLHD PERMIT # EPA i- FIRE PERMIT # <br /> INSPECT �qY DATE d��_ TANK # 39 <br /> R RINSED N) METHOD <br /> I ��jt/S� RINSE AMOUNT <br /> OU <br /> N RINSATE DISPOSAL SITE <br /> S e �r012 tti <br /> E MANIFEST # -OR- OTHER <br /> VVAPORS PURGED (Y N) METHOD pR �� _ AMOUNT USED <br /> P L. E. L. READING AT REMOVAL (MUST RE ( 20%) U=s" a <br /> 0 p o <br /> T R COMMENTS <br /> A <br /> N TANK MATERIAL TEE FIBERGLASS, OTHER) TANK SIZE �7 <br /> / 0 TANK CONDITION (GOOD POOR, HOLES) <br /> N <br /> S PIPE MATERIAL (STEEL FIBERGLASS, OTHER) # FEET <br /> P T <br /> I PIPING CONDITION (GOOD POOR, HOLES) <br /> N <br /> G DEPTH SOIL TYPE OBSERVATION <br /> T SAMPLE # <br /> I F A O r' <br /> I N G /wGt/ p <br /> K <br /> L <br /> D EXCAVATION SIZE: X X Ly <br /> S YDS OF SOIL: 570 <br /> I A p DEPTH SOIL TYPE OBSERVATION <br /> N M r SAMPLE # <br /> F L <br /> E I oh Z <br /> C N � • ,p <br /> T G TR N H I ENS ON `6 X9 r X YDS OF SOIL <br /> I <br /> 0 H DEPTH TO G. W. <br /> N FT SAMPLING METHOD <br /> 0 # OF HOURS SINCE DEWATERING: <br /> 0 OTHER SAMPLE: <br /> LABORATORY: 11W.6 AAlA I .. L / SAMPLERS NAME: �/ <br /> CLOSURE IN PLACE MIXTURE: V M 2 C h/A <br /> V OLUPIL <br /> H 2:043 ( 10/89) DRAW SITE MAP ON REVERSE <br />