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PUBLIC T•TH SERVICES-ENVIRONMENT F <br /> ACTH DIVISION <br /> SITE NAME Ga-1J <br /> ADDRESS <br /> OWNER NAME OWNER PHONE <br /> � � CITY Lo00 <br /> ��i` <br /> CONTRACTOR Ah G CONT. PHONE <br /> 5ia � Gob - `3060 <br /> FIRE PERMIT �` <br /> REMOVAL_ CLOSURE IN PLACE _ <br /> TEMPORARY CLOSURE _ <br /> INSPECTOR DATE <br /> G� 9 TANK # 39 5 5 3 <br /> . R RINSED (y/4a <br /> I METHOD <br /> RINSE AMOUNT <br /> N RINSATE DISPOSAL SITE <br /> S <br /> ld E MANIFEST <br /> OR OTHER <br /> V VAPORS PURGED (�N) METHOD O0`T- <br /> . A AMOUNT USEDZp �6 <br /> P READING AT REMOVAL <br /> O L.E.L. : p. p�%v 02 : <br /> . R COMMENTS -'s <br /> 0 TANK 1fATERIAL ( TEEL IBERGLASS, OTHER) <br /> . N TANK CONDITION (GOOD, OLES) <br /> T PIPE MATERIAL STE FIBERGLASS, OTHER) FEET <br /> PIPE CONDITION (GOOD 00 LES) <br /> _- <br /> . <br /> T DEPTH SOIL TYPE OBSERVATION <br /> SAMPLE � <br /> A0� G. a�Gczoi c <br /> N �w -c.-oz- <br /> s K - <br /> S EXCAVATION SIZE -'Af X^� X^6 <br /> A YDS OF SOIL Z <br /> 9 M DEPTH SOIL TYPE OBSERVATION <br /> P P SAMPLE <br /> L I <br /> . I P <br /> N E <br /> G <br /> TRENCH DIMENSION X X <br /> YDS OF SOIL <br /> H DEPTH TO G.W. : FT. SAMPLING METHOD <br /> 2 HOURS SINCE DEWATERING: <br /> 0 <br /> OTHER SAMPLE: <br /> LABORATORY: SAMPLERS NAME: GAY Gc <br /> HIXTURE <br /> r v e <br /> CLOSURE IN PLACE <br /> : VOLUME: <br /> EH 23-0043 (REV 2/23/94) PROVIDE SITE MAP <br />