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77 _44 <br /> s <br /> PHS., wilT Ilii j <br /> ' _ 1 <br /> r <br /> m 5vWIFIT9 <br /> prow, <br /> OWNER NAKiE OWNER RHONE # <br /> ' : CONTRACTOR CON. RHONE# <br /> E . _:... ,. <br /> R 'SJ RER, IT # 'A #. FIRE PERMIT <br /> L <br /> INSPECTOR , w DATE :' TANK # 39 <br /> R RINSED (Y7N) M HOD RINSE AMOUNT <br /> I <br /> w <br /> N RINSATE DISPOSAL SITE <br /> S <br /> E MANIFEST # 0 Q : ftp -UR- OTHER <br /> V VAPORS PURGED `) MtTH.dD � AMOUNT USED f�J <br /> A <br /> P L. E. L. READING AT REMOVAL (MUST BE < 20%) /u <br /> O <br /> T R COMMENTS <br /> A <br /> N TANK MATERIAL (STEEL, FIBERGLASS, OTHER) ' <br /> K C , <br /> 0 TANK CONDITIO (GOOD, COR, HOLES) <br /> TEEL <br /> S RIFE MATERIAL (SFIBERGLASS, OTHER) # FEET <br /> R T <br /> I PIPING CONDITION (GOOD, POOR, HOLES) <br /> N <br /> 3 DEPTH SOIL TYPE OBSERVATION -SAMPLE # <br /> T <br /> c f W" -SeM^" <br /> 712 <br /> I N r <br /> f K <br /> L <br /> D EXCAVATION SIZE: sk X LL X YDS OF SOIL: 3 SIS <br /> S <br /> I A DEPTH SOIL TYRE OBSERVATION SAMPLE # <br /> N M P <br /> 3 P I <br /> L P <br /> w I E <br /> C N <br /> T G TRENCH DIMENSION X X YDS OF SOIL <br /> i I <br /> 0 H DEPTH TO G. W. : r. iia` / SAMPLING METHOD <br /> N 1 2 <br /> O # OF HOURS SINCE DEWATERING: <br /> ' r D OTHER SAMPLE: <br /> LABORATORY: SAMPLERS NAME ""... <br /> UAL,�DSURE IN PLACE MIXTURE: V. :' E. <br /> , 7 � .. <br /> 7.7 <br /> ( 10/89) DRAW SITE MA'P ON REVERSE <br />