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PHS-EHD - UNDER(•UND TANK CLOSURE/ABANDON* INSPECTION <br />(SHADED AREA T BE FILLED IN FOR THE FIRST TANK ONLY) <br />.................................... _... _ <br />�n CaU43 iiuiay) DRAW SITE MAP ON REVERSE <br />E OWNER NAME <br />OWNER PHONE # R <br />N CONTRACTOR <br />CON. PHONE# <br />E <br />R <br />/ SJLHD PERMIT # EPA # FIRE PERMIT # <br />A' <br />L <br />_ <br />INSPECTOR <br />DATE TANK # 39 <br />R <br />I <br />RINSED (Y/N) METHOD RINSE AM UNT �}0� <br />N <br />S <br />RINSATE DISPOSAL SITE <br />E <br />MANIFEST # -OR- OTHER <br />V <br />R <br />VAPORS PURGED (Y/N) METHOD AMOUNT USED <br />P <br />0 <br />L.E.L. READING AT REMOVAL (MUST BE ( 2010 <br />T <br />R <br />COMMENTS <br />A <br />N <br />TRNK MATERIAL (STEEL, FIBERGLASS, OTHER) <br />TANK SIZE <br />K <br />C <br />TANK CONDITION (GOOD, POOR, HOLES) <br />/ <br />0 <br />N <br />S <br />PIPE MATERIAL (STEEL, FIBERGLASS, OTHER) <br /># FEET <br />P <br />T <br />PIPING CONDITION (GOOD, POOR, HOLES) <br />I <br />N <br />G <br />DEPTH SOIL TYPE OBSERVATION SAMPLE # <br />T <br />FA <br />I <br />N <br />E <br />K <br />L <br />D <br />EXCAVATION SIZE: X X YDS OF SOIL: <br />S <br />— <br />I <br />A <br />DEPTH SOIL TYPE OBSERVATION SAMPLE # <br />N <br />M <br />P <br />S <br />P <br />I <br />P <br />L <br />P <br />E <br />I <br />E <br />C <br />N <br />TRENCH DIMENSION XX <br />YDS O(= SOIL <br />T <br />G <br />I <br />— <br />0 <br />H <br />DEPTH TO G.W.: FT <br />SAMPLING METHOD <br />N <br />2 <br />U <br /># OF HOURS SINCE DEWATERING: <br />O <br />OTHER SAMPLE: <br />LABORATORY: <br />SAMPLERS NAME: <br />CLOSURE IN PLACE <br />MIXTURE: <br />VOLUME: <br />�n CaU43 iiuiay) DRAW SITE MAP ON REVERSE <br />