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PHS-EHD - UNDEI &UND TANK CLOSURE/ABANDON, W INSPECTION <br /> (SHADED AREA '10 BE FILLED IN FOR THE FIRST TANK ONLY) <br /> / OWNER NAME / D OWNER F'HONE # <br /> N , CONTRACTOR <br /> E <br /> RR SJLH PERMIT # <br /> E 'R # FIRE PERMIT # % <br /> L <br /> L J <br /> INSPECTOR C Q z DATE TANK # 39 <br /> R RINSED (Y/N) METHOD / <br /> I _7 , n v RINSE AMOUNT <br /> N RINSATE DISPOSAL SITE <br /> E MANIFEST # -OR- OTHER _ <br /> RV VAPORS PURGED �iy'/N) METHOD GC AMOUNT USED , _, <br /> ,, C/ '_ <br /> F' <br /> L. E. L. READING AT REMOVAL (MUST BE` ( 20%) <br /> O <br /> T R COMMENTS <br /> R <br /> N TANK MATERIALS EEL- FIBERGLASS, OTHER) TANK SIZE <br /> K C <br /> / 0 TANK CONDITION (GOOD, OR }TOLES) <br /> N <br /> S PIPE-MATERIAL-ISTEEL-,- FIBERGLASS-, -OTHER) # FEET ti rT <br /> P T <br /> I P-IPING--CONDI-TION (GOOD POOR - HOLES)_ <br /> N <br /> G DEPTH SOIL TYPE OBSERVATION <br /> T SAMPLE # <br /> I A �U4J� S✓ n. 5'Ji/ Oc/. �1 ,✓iq _l � .n <br /> NT3 J <br /> E K .-3 / <br /> L <br /> D S EXCAVATION SIZE: SG X Z X YDS OF SOIL: <br /> d5 '14 <br /> I R DEPTH - TYPE OBSERVATION <br /> N M �_,✓��( ^io SAMPLE # <br /> S P r.. <br /> P L . <br /> E I <br /> C N <br /> T G TRENCH DIMENSION X <br /> I X YDS OF SOIL <br /> 0 H DEPTH TO G. W. : FT SAMPLING METHOD <br /> N 2 S <br /> - �iw fs v <br /> 0 # OF HOURS SINCE DEWATERING: <br /> O OTHER SAMPLE: <br /> LABORATORY: SAMPLERS NAME: <br /> �; ✓ C . ti.� /,�. s z CU-o <br /> CLOSURE IN GLACE MIXTURE: VULUhIE: <br /> EH 23043 ( 10/89) DRAW SITE MAP ON REVERSE <br />