Laserfiche WebLink
PUBLIC HF-A� -: Sc.RVICES-u'`=ONMENTAL F%E TH DIVISION <br /> SITE NAbLT�EcH�_1CC+'S0 IADDRESS X03 aE.. ICIT_' <br /> ONNr"I2 NAMEA -r�G -{Zr IOWNER PHONE <br /> I <br /> CONTRACTORIbL� COUNYX PHONE <br /> ( CONT. E <br /> or T=ORAQ <br /> RY ASu�i E <br /> R_ImOVAL CLOSURE 1 LACE <br /> INSPECTORDATE T_�NX 1 39 / sic;' <br /> 9 <br /> j R =SED 4�N) M=00 TER"r I RTYSE AMOUNT <br /> i I <br /> N R-INSATE DISPOSAL SIMc pprZg- ENVi RdJFAe*,. -L <br /> MANI=ST OR OTHER j <br /> V VAPORS PURGr7 fix} I30D DRQ SGC IAMOUN'P 'uSr"D <br /> A �j <br /> P READING AT R.MOVAL I L.E.L. : Z 102 : a (] <br /> 0 <br /> R ccmb s <br /> I <br /> C vvrKi Y-Am_2 -LL. STS =ERGLASS, OTHER) <br /> 0 � <br /> N TANK CONDITION GOOD _'OCR, HOLES) <br /> S <br /> T I PIPE MATE_R—T�I (S_ , FT_3ERGLdSS, TQcR) I r F FT <br /> PIPE CONDTTICN ( C POOR, HOLES) <br /> D=m H I SOMI OBSMMATION I SAMDLE Z <br /> A i c>� 1 <br /> ;� iIT No <br /> R l r I CLAY I <br /> Y I O <br /> SEXCAVaT:T.ON SIZE `15 x � x I2 YDS OF SOILp� <br /> A I <br /> v DEPTH ( SOIL TYPE (OBSMZVATION SMOLE # <br /> p P I <br /> I I I <br /> L P I INOI <br /> I E I I <br /> G I I I i <br /> __MICH D7__.Cc.NSICH % Y YDS OF SOIL <br /> DEPTH TO G.N. : e I SAM-o'-TING IACD <br /> 'Z i HOURS SINCE Oz-WATER=(;: <br /> 0 I <br /> OTHER SAMPLE: <br /> La3OR�TORY: SAMPLERS NAME: <br /> �C SSR TV PLACE I �KITURE: <br /> �? 22-0043 (R:"7 2/22/9_). PROVIDE SI'i MA_'P <br />