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PUBLIC H*TH SERVICES-ENVIRONMENTAL 4ALTH DIVISION <br /> SITE NAME TOSCO #U` l ADDRESS 7363 Al. /0@C '7�jCITYs OGl7 <br /> OWNER NAMECO AAR 1 WNER PHONE # �ab� 78' O 3 <br /> CONTRACTOR�►hM&";4` ONT. PHONE <br /> FIRE PERMIT at D —CA 6- 1 <br /> IQ8 T <br /> REMOVAL-� CLOSURE IN PLACE D TEMPORARY CLOSURE <br /> INSPECTOR DATE 39 <br /> J <br /> R RINSED (Y/Q I METHOD � `� t u RINSE AMOUNT <br /> I ^ <br /> N RINSATE DISPOSAL SITE <br /> S <br /> E MANIFEST OR OTHER <br /> V VAPORS PURGED ®/N) METHOD AMOUNT USED <br /> A i 5 0/hr f8 <br /> O <br /> P READING AT REMOVAL L.E.L. : ry02: <br /> 0 <br /> R COMMENTS S+ i ct <br /> C TANK MATERIAL STEEL FIBERGLASS, O )Mo P�n1 i ✓' <br /> 0 r <br /> N TANK CONDITION (92bPOOR, HOLES) <br /> S <br /> T PIPE MATERIAL (STEEL, IBERGLAS OTHER) # FEET <br /> PIPE CONDITION (GOOD, POOR, HOLES) �`�" b&aeoj2, <br /> DEPTH SOIL TYPE OBSERVATION SAMPLE J4 <br /> T <br /> A S c� <br /> N t- <br /> K <br /> S EXCAVATION SIZE X X YDS OF SOIL <br /> A <br /> M DEPTH SOIL TYPE OBSERVATION SAMPLE <br /> P P <br /> L I <br /> I P <br /> N E <br /> G <br /> TRENCH DIMENSION X X YDS OF SOIL <br /> DEPTH TO G.W. : FT. SAMPLING METHOD <br /> x <br /> 2 # HOURS SINCE DEWATERING: <br /> 0 <br /> OTHER SAMPLE: <br /> LABORATORY: SAMPLERS NAME: ��f��e( <br /> CLOSURE IN PLACE MIXTURE: VOLUME: <br /> EH 23-0043 (RFV 2/23/94) PROVIDE SITE MAP <br />