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PHS-E-D - UNDER R U.NO T:NKCLOSUR /P�ANuuum Ni , Nor t �N <br /> (SHF,DED AREA TQ BE E'LL=D iN FOR THE FIRST TANK ONLY) <br /> _ Y(JYJ':Y✓'L'!/!!(!/LY/'/:1'�aui�u�GircvmlufulY /f/f!/!!! ` 1!!!!f!!!!!llllYi MLU C�J/•rl/l�lYlO'L'!!!!llllYlY i�:YL:/!yl!!lYI:I/llff(!!U!V//!.G!!'dY•• <br /> OWNER NAME i „ I OWNER PFiCNE <br /> E <br /> N CONTRACTOR �d (�«; 1e I CCN. PHCNE* 3 <br /> R S.iLHD PERMIT ` EPA 4 FIRE PERMIT # (� <br /> / py ry <br /> A �irGr Giu rJJ'///JryrG v v G rG a DrJifu /Guy�(y/y%%7Jf/�l(/J /G��G((JJ'4 Ty /G/J Lr!Gnu ' 'l6rGiG GIG r <br /> L /i'(C:�1�1V 1-i L. USU �`G�` , •:. IGl'IPUItnIURC <br /> 3 � _ _ <br /> INSPECTOR I DATE ;g-�� "�ti TANK � 39 ! ;3145/ <br /> R RINSED (Y N) I METHCO H,/V\sed I RINSE AMOUNT Q� <br /> N RiNSAT= DISPOSAL SITE <br /> 3 <br /> ,L <br /> MAN-IFEST * -CR- OTHER <br /> V !, VAPORS PURGED ) I METHCD AMOUNT USED J` <br /> A <br /> P L. L. READING AT REIMCVAL (MUST BE < cOX) _-v D <br /> 0 <br /> T R COMMENTS <br /> N TANK MATERIAL - TEn FIBERGLASS, OTHER) I TANK Sr ' 000 <br /> ,A C <br /> / O TANK CP.NDiTICN (GOCD, CCR, HOLES) Fm4en T ? <br /> S PIPE MATERIAL (STE L, FIBERGLASS, OTHER) <br /> P T <br /> I PIPING CONDITION (GOOD, POOR, HOLES) <br /> N — <br /> G ! DEPTH I SOIL TYPE I OBSERVATION I SPMPLS <br /> T 1 <br /> A . I 6 8 . 1 - _ <br /> Wes <br /> K I I <br /> L 1 <br /> D EXCAVATION SIZE: 14 XX YDS OF SOIL: / o <br /> S <br /> I ''. ' A DEPTH I SOIL TYPE I OBSERVATION I SAMPLE <br /> N M P <br /> S P I I I <br /> P L P 1 I 1 <br /> C N <br /> T G TRENCH DIMENSION jff X �E X YDS OF SOIL <br /> O H DEPTH TO G. W. FT I SAMPLING METHOD <br /> N a ; <br /> J OF HOURS SINCE OE'.JATERING: <br /> 1 O OTHER SAMPL=': <br /> q LABORATORY. <br /> CLOSURE <br /> I SAMPL=RS N ME: <br /> 1 <br /> CLOSURE IN PLACE I MIXTURE: I VOLUME: <br /> f 20+ ( :0/8S) DRAW SITE MAP ON REVERSE . <br />