Laserfiche WebLink
PUBLIC HES_ 2H SERVICES-ENVIRONMENTAL >"efH DIVISION <br /> ADDRESS CITY- <br /> SITE-71 NAME_— <br /> PHONE <br /> TNE OWNER P C <br /> Ov iWE <br /> CONTRACTOR CONT. PHONE <br /> FIRE PE <br /> _LZ_�a_tL <br /> I TEMPORARY CLOSURE <br /> CL 77 <br /> REMOVAL OSURE IN PLACE <br /> C( -TANK 3 9 <br /> DATE <br /> INSPECTOR f <br /> METHODS RINSE AMOUNT <br /> R RINSED LY/N) <br /> I <br /> N RINSATE DISPOSAL SITE <br /> S <br /> E MANIFEST OR OTHER <br /> V VAPORS PURGE, (Y N) I METHOD AMOUNT USED <br /> A <br /> P READING AT REMOVAL L.E.L. : 02: <br /> 0 <br /> R I COMMENTS <br /> C TANK MATERIAL (STEEL, FIBERGLASS, OTHER) <br /> 0 <br /> sq <br /> N CONDITION (GOOD, POOR, HOLES) Ir <br /> TANK C Iv <br /> S <br /> T PIPE MATERIAL (STEEL, FIBERGLASS, EOTHER) # FEET <br /> PIPE CONDITION (GOOD, POOR, HOLES) <br /> DEPTH SOIL TYPE SAMPLE <br /> T <br /> A <br /> N o 6 n <br /> K <br /> S EXCAVATION SIZE X X YDS OF SOIL <br /> A <br /> M DEPTH SOIL TYPE ( OBSERVATION SAMPLE <br /> P p <br /> L I <br /> I P <br /> N E <br /> G TRENCH DIMENSION X X YDS OF SOIL <br /> DEPTH TO G.W. : FT. SAMPLING METHOD <br /> H <br /> 2 # HOURS SINCE DEWATERING: <br /> 0 <br /> OTHER SAMPLE: <br /> LABORATORY: SAMPLERS NAME: <br /> CLOSURE 7IN `PLACI�E� MIXTURE: VOLUME: <br /> EH 23-0043 (REV 2/23/94) PROVIDE SITE MAP <br />