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RHS-EHD - UNDEROUND TANK CLOSURE/ABANDONM* INSPECTION <br />(SHADED AREA TO BE FILLED IN FOR THE FIRST TANK ONLY) <br />J F1 LJJ/Laiiv� �/47,vyilliJ ��Yu ���ir�.�ir�F <br />E OWNER NAME <br />OWNER PHONE #adg 3w8_ rJy <br />; <br />N CONTRACTORh <br />CON. PHONE# <br />E L <br />R <br />SJLHD PERMIT # EPA # FIRE PERMIT # <br />A' <br />Vp <br />LCAWI <br />INS PECTORkeil 2 <br />DATE 3 RU TANK # 39 - a y 3 <br />R <br />RINSED (Y, N) <br />METHOD <br />RINSE AMOUNT <br />I <br />RINSATE DISPOSAL SITE <br />N <br />S <br />E <br />MANIFEST # -OR- OTHER <br />V <br />VAPORS PURGED (Y N) <br />METHOD <br />AMOUNT USED <br />A <br />pO <br />L.E.L. READING AT REMOVAL (MUST Be( OUX)�� <br />0 <br />COMMENTS <br />T <br />R <br />A <br />N <br />TANK MATERIAL (STEEL FIBERGLASS, OTHER) <br />TANK SIZE Q 0 (� <br />K <br />C <br />/ <br />0 <br />��pp <br />TANK CONDITION ( OOD POOR, HOLES) -'U` <br />N <br />PIPE MATERIAL TEEL FIBERGLASS, OTHER) <br /># FEE -r <br />S <br />P <br />T <br />I <br />PIPING CONDITION (GOOD, POOR, HOLES) <br />N <br />G <br />DEPTH SOIL TYPE 1 OBSERVATION SAMPL <br />T <br />_ <br />F <br />A <br />I <br />N <br />!# <br />E <br />K <br />L <br />D <br />EXCAVATION SIZE: X cZ D X <br />YDS OF SOIL: <br />S <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 X X YDS UF= SDIL <br />T <br />G <br />I <br />— — <br />0 <br />N <br />H <br />DEPTH TO G. W.: FT SAMPLING ME-rHOD <br />— -- <br />U <br /># OF HOURS SINCE DEWATERING: <br />0 <br />OTHER SAMPLE: <br />LABORATORY: (I, Z SAMPLERS NAME: <br />vv <br />CLOSURE IN PLACE MIXTURE: <br />VOLUME: <br />", V�U4J DRAW SITE MAP ON REVERSE <br />