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PHS-EHD - UNDERG JND TANK CLOSURE/ABANDONM�„f INSPECTION <br /> (SHADED AREA TUBE FILLED IN FOR THE FIRST TANK ONLY) <br /> RAMP <br /> OWNER NAME OWNER PHONE #Cor�xcf oy i/oas+�e� <br /> N •y CONTRACTOR zo - <br /> E A%sov E ,N �Z CON. FHONE# Q/6 <br /> R SJLHD PERMIT # - S - 60tJ <br /> A . <br /> 3//b FIRE PERMIT # <br /> L <br /> INSPECTOR DATE <br /> R RINSED Y N> METHOD <br /> I Pmssure s RINSE Ah�]U11"f v../,� <br /> N RINSATE DISPOSAL SITE 3 3f�aa/✓ <br /> E MANIFEST d <br /> -OR- OTHER <br /> V VAPORS PURGED ON) METHOD <br /> A �rAMOUNT USED a tOCl6; <br /> P L.E. L. READING AT REMOVAL (MUST BE <br /> 0 <br /> T R COMMENTS <br /> N TANK MATERIAL STEE FIBERGLASS, R:111 TANK C.tL rPaal o q!/ <br /> K C j <br /> / 0 TANK CONDITION (GOOD, POOR <br /> N , HOLES) <br /> S PIPE MATERIAL (STEEL, FIBERGLASS, rlr <br /> P T FI , OTHER) # FEET <br /> I PIPING CONDITION (GOOD <br /> N , POOR, HOLES) — <br /> G DEPTH SOIL TYPE OBSERVATION <br /> T SAMPLE # <br /> F A .2 <br /> I N <br /> E <br /> K <br /> L <br /> D EXCAVATION SIZE: <br /> S l X � X /� YDS OF SOIL: err �s <br /> I A DEPTH SOIL TYPE OBSERVATION <br /> N M P SAMPLE # <br /> S P I _ <br /> P L P <br /> E I E <br /> C N <br /> T G TRENCH DIMENSION <br /> I X X YDS OF SOIL <br /> 0 H DEPTH TO G. W. : <br /> N FT SAMPLING METHOD <br /> G # OF HOURS SINCE DEWATERING: <br /> 0 OTHER SAMPLE: 916 <br /> LABORATORY: WP3�I'g6S oavy r <br /> SAMPLERS NAME: Mr <br /> CLOSURE IN GLACE MIXTURE: <br /> VOLUME: 4 <br /> EH 23043 ( 10/89) DRAW SITE MAP ON REVERSE 4/5v srP. /mss /y Z <br />