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-1 PHS—EHD — UNDE BUND TANK CLOSURE / ABANDO*oi%lT INSPECTION <br /> ( SHADED ARE BE BE FILLED IN <br /> FOR THE FIRST TANK ONLY ) <br /> EOWNER NAME <br /> ' ? Lew s Shu //wm� OWNER PHONE # <br /> R <br /> N ' CONTRACTOR CON. PHONE# <br /> E / <br /> R SJLHD RMIT # EPR # FIRE PERMIT # G <br /> A J3ss � <br /> INSPECTOR e GZ DATE —d7 � ' TANK # 39 <br /> R RINSED METHOD kyr /E RINSE AMOUNT <br /> N RINSATE DISPOSAL SITE <br /> S �— <br /> E MANIFEST # —OR— OTHER <br /> V VAPORS PURGED � N ) METHODof AMOUNT USED <br /> R II 'I �!S <br /> P L . .E . L. READING AT REMOVAL ( MUST BE < 20% ) <br /> 0 <br /> G <br /> 'CJ <br /> T R COMMENTS <br /> A <br /> iiis <br /> N TANK MATERIAL ( STEE FIBERGLASS , OTHER ) TANK SIZE <br /> K C o2 D o <br /> / O TANK CONDITION ( GOOD , POO HOLES ) <br /> N <br /> S PIPE MATERIAL STEE , FIBERGLASS , OTHER ) # FEET <br /> P T /cU <br /> I PIPING CONDITION ( GOOD , P00 , HOLES ) <br /> N <br /> G DEPTH SOIL TYPE OBSERVATION <br /> T SAMPLE # <br /> F A c <br /> E K <br /> L <br /> D EXCAVATION SIZE : <br /> S � X -L' 11 V i S - OF SOIL : <br /> I A DEPTH SOIL TYPE OBS ON - <br /> N M P PLE # <br /> S P I <br /> P L P <br /> E I E <br /> C N <br /> T G TRENCH DIMENSION _ X X _ <br /> I S OF SOIL <br /> 0 H DEPTH TO G . W . : F <br /> N 2 <br /> 0 # OF HOURS SINCE DEWATERING : <br /> 0 OTHER SAMPLE : <br /> LABORATORY : <br /> SAMPLERS NAME : ry c <br /> CLOSURE IN PLACE MIXTURE : VOLUME : <br /> - H 23043 ( 10 / 89 ) DRAW SITE MAP ON REVERSE <br /> 1 <br />