Laserfiche WebLink
PHS--EHD - UNDER JND TANK CLOSURE/ABANDONM ' <br /> (SHADEDyy�� AREA TL,.,,6�E�FILLED IN FOR THE FIRS <br /> V-4ANK INSPECTION ON <br /> Sen L 'c <br /> OWNER- NAME, <br /> a. OWNER PHONE # <br /> N CONTRACTOR <br /> E op-S� CON. PHONE# <br /> R SJLHD PERMIT # EPq�Aot Y0 <br /> L' , FIRE PERMIT # I3DD <br /> INSPECTORT� p <br /> DATE a, l � 1 TANK # :.9 - 3 (o _ Cj <br /> R RINSED (Y N) METHO <br /> I RINSE AMOUNT ��00 <br /> N RINSATE DISPOSAL SITE <br /> S <br /> E MANIFEST # <br /> -OR- OTHER <br /> V VAPORS PURGED (Y N) METHOD <br /> A AMOUNT USED S <br /> gl <br /> P L.E.L. READING AT REMOVAL (MUST B ( 20%) <br /> 0 <br /> T R COMMENTS <br /> A <br /> N TANK MATERI -STEEL FIBERGLASS, OTHER) TANK SIZE 7 <br /> K c � <br /> / 0 TANK CONDITIO ,GOOD, POOR, HOLES) <br /> N <br /> y" S PIPE MATERIAL STEEL FIBERGLASS, OTH ) # FEET <br /> P T <br /> I PIPING CONDITION (GOOD, POOR, HOLES) <br /> N r <br /> G DEPTH SOIL TYPE OBSERVATION <br /> T SAMPLE # <br /> F A w <br /> I N ` <br /> E K <br /> nA <br /> D EXCAVATION SIZE: <br /> S X X YDS OF SOIL: <br /> I A DEPTH SOIL TYPE OBSERVATION <br /> N M P SAMPLE # <br /> S P I <br /> P L P <br /> E I E <br /> C N <br /> T G TRENCH DIMENSION X X <br /> I YDS OF SOIL <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: ✓I/wg"(i(,Q, SAMPLERS NAME: <br /> CLOSURE IN PLACE MIXTURE: <br /> VOLUME.- <br /> EH <br /> OLUME:EH 23043 (10/89) DRAW SITE MAP ON REVERSE <br />