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PUBLIC HF.ALT$ SERVICES-ENVIRONMENTA' ttts&l'in LlVlulva• <br /> CITY <br /> SITE NAME 1��� . ADDRESSD L.c��,� v � -� � <br /> OWNER NAME OWNER PHONE # � 1 -7111-- <br /> yam- CONT. PHONE <br /> CONTRACTOR�E %i <br /> FIRE PERMIT <br /> REMOVAL <br /> CLOSURE IN PLACE TEMPORARY CLOSURE <br /> INSPECTOR <br /> DATE c/�- TANK # 3 9 t n <br /> METHOD �� �.r�G�- <br /> RINSE AMOUNT <br /> R RINSED,199) <br /> I <br /> N RINSATE DISPOSAL SITE <br /> S OR OTHER <br /> E MANIFEST # <br /> AMOUNT USED 1157 <br /> V VAPORS PURGED (Y/N) METHOD i?, r4 <br /> A L.E.L. : 02: <br /> P READING AT REMOVAL �l <br /> O <br /> R COMMENTS <br /> C TANK MATERIAL (STEEL, FZBERG3,ASS', OTHER) <br /> O <br /> N TANK CONDITION (GOOD OOR HOLES) <br /> S FIBERGLA`SS'� � OTHER) # FEET <br /> T PIPE MATERIAL (STEE F �_-� <br /> PIPE CONDITION (GOOD, POOR, HOLES) <br /> DEPTH SOIL TYPE OBSERVATION <br /> SAMPLE # <br /> T <br /> A <br /> N <br /> K <br /> S EXCAVATION SIZE" X" X YDS OF SOIL <br /> ASAMPLE # <br /> M DEPTH SOIL TYPE OBSERVATION <br /> P P <br /> L I <br /> I P <br /> N E <br /> G X X YDS OF SOIL <br /> TRENCH DIMENSION <br /> DEPTH TO G.W. • FT. SAMPLING METHOD <br /> H <br /> 2 # HOURS SINCE DEWATERING: <br /> 0 <br /> OTHER SAMPLE: <br /> LABORATORY• SAMPLERS NAME: �j�� <br /> 4���� <br /> CLOSURE IN PLACE <br /> MIXTURE: VOLUME: <br /> EH 23-0043 (REV 2/23/94) PROVIDE SITE MAP <br />