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E <br />N <br />E <br />R <br />A <br />L <br />T <br />A <br />N <br />K <br />P <br />I <br />N <br />G <br />F <br />I <br />E <br />L <br />D <br />I <br />N <br />S <br />F. <br />E <br />C <br />PHS-EHD - UNDERGF,ND TANK CLOSURE/ABANDONMES INSPECTION <br />(SHADED AREA TO BE FILLED IN FOR THE FIRST TANK ONLY) <br />Y//N//X/LVOViiYiivbrrryrrwi✓iivauuu..u..,.,.___.. <br />FOWNER <br />NAMENTRACTOLDN/LY//NV✓/varvoniuinaiimiuu u..�................................ _.. _ _. <br />__ 1G14FUIWHY LLUSURE_..- <br />INSPECTORLQ F�eS�Cp DATE g O TANK # 39 - <br />R RINSED (Y N) METHOD-(T,, <br />IRINSE f1MUL <br />N RINSATE DISPOSAL SITE <br />S <br />E MANIFEST # -OR- OTHER <br />V VAPORS PURGE (Y N) METHOD AMOUNT USED <br />A <br />P L.E.L. READING AT REMOVAL (MUST ( 2C)%) <br />0 <br />R COMMENTS <br />C TANK MATERIA (STEE , FIBERGLASS, OTHER) <br />0 TANK CONDITION OOD POOR, HOLES) <br />-- <br />N <br />S PIPE MATERIAL (STEEL, FIBERGLASS, OTHER) <br />T <br />PIPING CONDITION (GOOD, POOR, HOLES) <br />T I <br />DEPTH SOIL TYPE OBSERVATION <br />A <br />N <br />K <br />S -- <br />A <br />M P <br />P I <br />L P <br />I E <br />N <br />TANK SIZE <br /># FEET <br />EXCAVATION SIZE: <br />X I <br />_ X LLQ YDS OF SOIL: <br />DEPTH I SOIL TYPE I OBSERVATION <br />T G TRENCH DIMENSION <br />I X _ X YDS OF SOIL <br />0 H DEPTH TO G.W.: FT SAMPLING METHOD <br />N 2 <br />0 # OF HOURS SINCE DEWATERING: <br />O OTHER SAMPLE: <br />LABORATORY• `- C SAMPLERS NAME: <br />CLOSURE IN PLACE MIXTURE: <br />VOLUME: <br />EH 23043 (10/89) DRAW SITE MAP ON REVERSE <br />SAMPLE # <br />SAMPLE # <br />