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(SPACED AREA TO it =0 IN FOR T E F:RST. T�uY ONLY) k <br /> wClfJWlA'[J/�' W.IJ!!/7f/l0'Id'JIYAYf�ll110711j+.�ll/ lClil/IYIYl!llY1Q'IY'.1'ClCI'.l'19':.i'.CYJd'WWIYL!'1!!C!/!ltd'1✓Jl/WW47.�'�'!11i/llllG'i:!!A'•tl�:!! <br /> Lr IM <br /> N/e r c�C� S�-ocic�-on Y I <br /> i_WNER NAME, I OWNER PHONE to <br /> N CCNTRACTQR SQ L CCN. PHCNE* , y <br /> S.iLHn cR;+f i T # EPA IRS 'PERM lllh`T 4 <br /> :r�liG:r r�r6�G rri rG r1 �i� rGrrr L rG rirlr ' „r f .1 .!rrG :rrG' rr ' 'rGrGiG G <br /> L :cam: vrL...�.: urcc ttiV r• ntrc I ct' t1R riY �..L�:ai:Rc <br /> { <br /> E :NSPECTQR e , L� OATE �-/i71�L� TANK 39 – i�Os7-7 <br /> 3 II I <br /> R WSc7 QN) METHOD R;,VSc AMOUNT(,) <br /> o <br /> N RrNSATS OISPOSAL SITE <br /> C MRN_rES T 4 –ER– OTHER <br /> o- <br /> V i VAPORS PURSED (`M) MET;:CD - AMCUNT USED <br /> A cL 1 1 k <br /> P L. E. L. READ rNG AT RMMOVAL (MUST BE C 20A) 1 1�U 7 <br /> U <br /> T R CCMMENTS <br /> n - r <br /> N BANK MATERIAL QS T EE & MERCISSaQ T HER) � T' ANK� S i?_. <br /> { <br /> ! G TANK CCND;T:CN .(CCCO, POOR, -4;� -4; "�� �� � 14 1l4� <br /> ,V % ' I <br /> ti P <br /> S PIPE tMATERIPL (ST:EL, MERG WASYN T HER) T FEW r�yP1& C S <br /> P T # iT <br /> P 1 P Z NG CONDITION (SCUD, FGAR, ;:CLES) <br /> N <br /> f <br /> 3 DEPTH SO:L TYPE � OBSERVATION SAMPLE <br /> T I� <br /> is oCC[,1X r svi% IGrirru![�GLir iC� /v <br /> I N Z l Giro cl�i 2 i7h t <br /> L K <br /> a EXCAVATION SIZE: X /Z'X f[ � YDS� OF SCIL: <br /> I A DEPTH SOIL TYP£ OBSERVATION SAMPLE. # <br /> N �'M p <br /> S a I I I i II <br /> P L P I I 1 k I <br /> - <br /> C N I I r li I <br /> T G TRENCH DIMENSION <br /> X X YT S I OF WL <br /> L <br /> U H DEPTH TO G. W. : � FT � SAMPLING mET'HCE] <br /> 0 i OF HCURS SINCE DEWATERING: ' <br /> I E <br /> ' n _ <br /> a OTf-EER SAMPLE: � IF <br /> LABORATORY: Gcoli SAMPLZAS NAME: .�� , k:'-!soja f <br /> CLCSUsp.E IN PLACE MIXTURE: - uCLt.tk: <br /> -� 0 <br />-f 2r4=►C (It)/89) DRAW S:T E :ASAP CN REVERSE �g <br />