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JN , /,eh <br /> RHS-EHD - UNDER( LJND TANK CLOSURE / ABANDONM . . 1" INSPECTION <br /> ( SHADED AREA TO BE FILLED yIN FOR THE FIRSTS "( AUNKp ONLY ) y� <br /> a"iir"Jl/u " ' J;"f; <br /> OWNER NAME OWNER F'HGNE # � <br /> Nfit <br /> CONTRACTOR �h �r CON . PHONE # <br /> E C' v /7S <br /> R , SJLHD F' RMIT # EPA FIRE PERMIT # is <br /> A <br /> INSPECTOR C ' Oli DATE // Yy TANK # <br /> R RINN ) METHOD - RINSE AMOUNT <br /> /e s <br /> BRINSATE DISPOSAL SITE <br /> E MANIFEST # -OR- OTHER <br /> V VAPORS PURGED ( Y N ) METHOD AMOUNT USED _ <br /> A ry /c2 <br /> P L . E . L . READING AT REMOVAL ( MUST BE ( 20% ) <br /> O <br /> T R COMMENTS <br /> A <br /> N TANK MATERIAL ( STEEL , FIBERGLASS , OTHER ) TANK SIZE <br /> K C �i C=00 jcc <br /> / 0 TANK CONDITION ( GOOD , <br /> POOR , HOLES ) <br /> N lI <br /> S PIPE MATERIAL ( STEEL , FIBERGLASS , OTHER ) # FEE 1777 <br /> P T <br /> I PIPING CONDITION ( GOOD , F'17OP� , HOLES ) <br /> N <br /> G DEPTH SOIL TYPE ERVATION c <br /> T SgMF'LE # <br /> F A 3 / <br /> I N c H o bs L <br /> E K GC <br /> L <br /> D EXCAVATION SIZE : X X // YDS OF SOIL : <br /> S lc�26? ' d3 <br /> I A DEPTH SOIL TYPE OBSERVATION <br /> N M P SAMPLE # <br /> S P I �¢¢ c /� Az�w a4� . <br /> P L P <br /> E I E <br /> C N <br /> T G TRENCH DIMENSION X X YDS OF SOIL <br /> I — <br /> 0 H DEPTH TO G . W . : FT SAMPLING METHOD <br /> N <br /> 0 # OF HOURS SINCE DEWATERING : <br /> FOTHER SAMPLE : <br /> LABORATORYL "`Y ' 40 -/� /(zo SAMPLERS NAME : <br /> = se ai /-/a Awz/7/L <br /> CLOSURE IN PLACE MIXTURE : VOLUME : <br /> EH 23043 ( 10 / 89 ) DRAW SITE MAP ON REVERSE <br />