Laserfiche WebLink
PHS-EHD - UND . RdNA TANK CLOSURE/ABANDO( :N" INSPECTIDN <br /> (SHADED ARE .0 BE FILLED IN FOR THE FIRdT TANK ONLY) <br /> 1 116 1-T IN MAd�WIN 11 1 111 WOMAN <br /> E OWNER- NAME OWNER PHONE # <br /> N CONTRACTOR CON. PHONE# <br /> WE <br /> E <br /> R SJLHD PERMIT # EPA # FIRE PERMIT # <br /> A <br /> L MOOR Em K UKL <br /> INSPECTORC. DATE TANK # 39 <br /> R RINSED (Y } METHODS PCPs RINSE AMOUNT <br /> I <br /> N RINSATE DISPOSAL SITE <br /> S u /wqr.. <br /> E MANIFEST # -OR- OTHER <br /> AV VAPORS PURGE (Y ) METHODDrl rC-P, AMOUNT USED pS <br /> P L. E. L. READING AT REMOVAL (MUST BE ( 20%) <br /> O ' <br /> T R COMMENTS <br /> A <br /> N TANK MATERIAL (STEE FIBERGLASS, OTHER) TANK SIZE <br /> K C <br /> / 0 TANK CONDITION (GOOD, POOR, HOLES) <br /> N <br /> y S PIPE MATERIAL (STEE FIBERGLASS, OTHER) # FEET f <br /> P T <br /> I PIPING CONDITION (GOOD, POOR, HOLES) <br /> N <br /> r <br /> G <br /> T DEPTH 'SOIL TYPE OBSERVATION SAMPLE # <br /> F A ALA ; <br /> I N ' o <br /> E K dled <br /> f <br /> L <br /> D EXCAVATION SIZEa <br /> S X tL- X YDS OF SOIL: <br /> I A DEPTH SOIL TYPE OBSERVATION <br /> N M P SAMPLE # <br /> S P I NcArel A." <br /> P L P <br /> E I E <br /> C N <br /> T G TRENCH DIMENSION X X _„� YDS OF SOIL <br /> I <br /> 0 H DEPTH TO G. W. : FT SAMPLING METHOD <br /> N 2 <br /> 0 # OF HOURS SINCE DEWATERING: <br /> 0 OTHER SAMPLE: <br /> LABORATORY: at k4jo- SAMPLERS NAME: <br /> CLOSURE IN PLACE MIXTURE: VOLUME: <br /> EH 23043 (10/89) DRAW SITE MAP ON REVERSE <br />