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4 <br /> �r <br /> PHS-EHD - UNDd UOUND TANK CLOSURE/ABANDO 7 INSPECTION <br /> r <br /> (SHADED AREA TO BE FILLED IN FOR THE' FIRST TANK ONLY) <br /> li�l 15511 <br /> /12 <br /> OWNER NAME S` � OWNER PHONE # Uq3 3 Jd 7 IF <br /> =: N CONTRACTOR CON. PHONE# <br /> . E <br /> R SJLHD PERMIT # EFA # FIRE PERMIT # <br /> A <br /> L <br /> INSPECTOR Ti` DATE �Q TANK # 39 <br /> _ 7 <br /> R RINSED "N) METHOD RINSE AMOUhS <br /> I �`_' <br /> N RINSATE DISPOSAL SITE <br /> S <br /> E MANIFEST # --OR- OTHER <br /> F A VAPORS PURGED v <br /> /N) METHOD AMOUNT USED <br /> P L. E. L. READING AT REMOVAL (MUST B < 20%) <br /> 0 <br /> T R COMMENTS <br /> A . <br /> N TANK MATERIALTEEL FIBERGLASS, OTHER) 17TANK SIZE <br /> K C <br /> / 0 TANK CONDITION (GOOD, POOR, HOLES) <br /> N <br /> .' S PIPE MATERIAL (STEEL, FIBERGLASS, OTHER) # FEET <br /> P T <br /> I PIPING CONDITION (GOOD, POOR., HOLES) <br /> N <br /> G DEPTH SOIL TYPE OBSERVATION SAMPLE # <br /> T <br /> F <br /> I N <br /> E K <br /> L <br /> D EXCAVATION SIZE: 's-y X X �' YDS OF -SOIL: <br /> S <br /> I A DEPTH SOIL TYPE OBSERVATION SAMPLE # <br /> N M P <br /> S �„ I <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. : <br /> N 2 <br /> FT SAMPLING METHOD <br /> 0 # OF HOURS SINCE DEWATERING: <br /> O OTHER SAMPLE: <br /> LABORATORY: �� 7 <br /> SAMPLERS NAME: <br /> CLOSURE IN PLACE MIXTURE: . VOLUME: <br /> EH 23043 (14/89) DRAW SITE MAP DN REVERSE <br />