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RHS-EHD - UNDERG*ND TANK CLOSURE/ABANDONMERf INSPECTION <br /> (SHADED AREA TO BE FILLED IN FOR THE FIRST TANK ONLY) <br /> frL;> y <br /> OWNER NAME y!!- ' (/" " <br /> E OWNER PHONE # <br /> N CONTRACTOR �-- ` 71 <br /> E ��rr �'u��s{ CON. PHONE# <br /> R SJLHD F 'MIT # EF'A "' 4s/' FIRE PERMIT # <br /> R py <br /> INSPECTOR <br /> RINI opSED Y�N) METHOD - RINSE F-1MOUNT <br /> N RINSATE DISPOSAL SITE <br /> S' <br /> E MANIFEST # -OR- OTHER <br /> V VAPORS PURGED (Y N) METHOD <br /> A ` . E. AMOUNT USED aS �hS <br /> R L. E. L. READING AT REMOVAL (MUST BE ( chi L) <br /> O <br /> T R COMMENTS <br /> A <br /> N TANK MATERIAL (STEEL, FIBERGLASS, OTHER) TANK SIZE <br /> K C <br /> / 0 TANK CONDITION (600 , POOR, HOLES) <br /> N <br /> S PIPE MATERIAL (STEEL,' FIBERGLASS, OTHER) # FEET <br /> R T <br /> I PIPING CONDITION (GOOD, "FObR, HOLES) <br /> N <br /> G T DEPTH SOIL TYPE G ERVRTION <br /> SRMF'LE # <br /> 3 ' <br /> F A <br /> E K �C <br /> L <br /> D EXCAVATION SIZE: X ,)3 X / <br /> S <br /> � YDS OF SOIL: /C�Li yd-3 <br /> I A DEPTH SOIL TYPE OBSERVATION <br /> N M P SAMPLE <br /> P L P <br /> E I E <br /> C N <br /> T G TRENCH DIMENSION X <br /> I -- _X _ YDS Of= SOIL <br /> 0 H DEPTH TO <br /> ` <br /> G. W. : FTN — SAMPLING METHOD <br /> f-u ss he l e- <br /> # <br /> # OF HOURS SINCE DEWATERING: <br /> O OTHER SAMPLE: <br /> LABORATORY: <br /> co), SAMPLERS NAME: <br /> CLOSURE IN PLACE MIXTURE: , <br /> VOL-UME <br /> EH 23043 ( 10/89) DRAW SITE MAP ON REVERSE <br />