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s ^ <br /> r <br /> pi <br /> p 18—EHD SHADED— Lw4DER- D TANK CLOSURE/ARANDOIt�* INSPECTION <br /> ( AREA T s FILLED IN FOR THE FIRST TANK ONLY) <br /> ,,E ch 1 <br /> OWNER NAME �Av ol" c 44'.4 OWNER PHONE # 707-1) !; � <br /> E <br /> N CONTRACTOR i/ get r • . ► CON. PHONE# 7C <br /> E <br /> R RMIT # FIRE PERMIT # /38(o y . <br /> A <br /> L -- --- ► <br /> INSPECTOR �, p� DATE y�j /f TANK # 39 — SJe- <br /> R RINSED N) METHOD �., /,� RINSE AMOUNT � <br /> I ; <br /> N RINSATE DISPOSAL SITE <br /> s <br /> E MANIFEST # —OR— OTHER <br /> V -VAPORS PURGED 4'N) METHOD ' AMOUNT USED f' <br /> A - <br /> P L.E.L. READING AT REMOVAL (MUST BE '( 20%) � <br /> 0 r <br /> T R COMMENTS <br /> A <br /> N TANK MATERIAL (S EEL FIBERGLASS, OTHER) TANK SIZEJW �'�' <br /> K C <br /> / 0 TANK CONDITION. (GOOD, "P HOLE �t5 Se• /LaA4 se4 on o-„ k <br /> N <br /> z= S PIPE MATERIALE , FIBERGLASS, OTHER) # FEET vav <br /> P T <br /> I PIPING CONDITION (GOOD, POOR, HOLES <br /> N <br /> G DEPTH SOIL TYPE OBSERVATION SAMPLE # ' <br /> T <br /> F A , <br /> I - N <br /> E K <br /> L <br /> D EXCAVATION SIZE: ` X �X YDS OF SOIL: � <br /> S <br /> I A DEPTH SOIL TYPE OBSERVATION SAMPLE # <br /> N M P <br /> S P I <br /> P L P <br /> E I E AV 12 <br /> C N �"�-' <br /> T G TRENCH D I MEN i ON Z;, X X /S` YDS OF SOIL <br /> I <br /> 0 H DEPTH TO G.W. FTSAMPLING METHOD <br /> N 2 __7 <br /> 0 # OF HOURS SINCE DEWATERING: <br /> O OTHER SAMPLE: <br /> { <br /> - <br /> ORATORY:� . f„ v,�v l. $,ccio SAMPLERS NAME: � ^041- <br /> t !1 <br /> AA ON <br /> CLOSURE IN PLACE MIXTURE: VOLUME: <br /> 1 =H 23043 (10/89) DRAW SITE MAP ON REVERSE <br />