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49 <br /> PHS-EHD - UNDER ")aUND TANK CLOSURE/ABANDONMENT <br /> (SHADED AREA TOS BE�,y�,yFILLED IN FOR THE FIRST TANKSONLY) <br /> �N <br /> �' " r �������������r <br /> EOWNER <br /> R NAME. OWNER. RHONE # <br /> (do yQ 3& <br /> N CONTRACTOR <br /> Q <br /> C ,' r CPN: PHONE# CQD 9) <br /> R SJLHD ERMIT # EPA # <br /> A FIRE PERMIT # <br /> INSPECTOR T DATE 39 -- �3 5-f _ Q f <br /> R RINSED (Y N) T_ <br /> METHOD <br /> I R.(ih S-e_ RINSE MUU T <br /> N RINSATE DISPOSAL SITE <br /> S <br /> E MANIFEST # � ^ <br /> -OR= OTHER. - <br /> V VAPORS PURGED /N) METH <br /> A 1 <br /> I CeAMOUNT USED S <br /> P L. E. L. READING AT REMOVAL (MUST BE ( 20%) <br /> o <br /> T R COMMENTS f <br /> A <br /> N TANK MATERIAL (STEEL, FIBERGLASS OT <br /> K C , HER) TANK SIZE <br /> / O TANK CONDITION (GOOD, UG R HOLES) f' ted �- <br /> .N <br /> S PIPE MATERIAL (STEEL, FIBERGLASS,, OTHER) # FEET 1 <br /> P T <br /> I PIPING CONDITION (GOOD, OOR HDLESI --- <br /> DEPTH SOIL TYPE OBSERVATION. <br /> T SAMPLE # <br /> F A <br /> N <br /> L <br /> D EXCAVATION SIZE: X X <br /> S YDS OF SOIL: , <br /> IA DEPTH SOIL TYPE OBSERVATION <br /> N M P SAMPLE # <br /> S P I <br /> F, <br /> E I E �. <br /> C N _ I <br /> T G TRENCH DIMENSION <br /> I X _ X . YDS OF= SO I L <br /> O H DEPTH TO- G. W. : <br /> N 2 ---------_... FT • SAMPLING METHOD . <br /> G # OF HOURS SINCE DEWATERING: <br /> 0 OTHER SAMPLE: <br /> LABORATORY: <br /> mc, I SAMPLERS NAME': <br /> CLOSURE IN PLACE MIXTURE: <br /> VOLUME <br /> H 23043 (I0/89) DRAW SITE MAP ON REVERSE J1 <br />