Laserfiche WebLink
PHS-EHD - UNDERE UND TANK CLOSURE / ABANDONM'. f INSPECTION <br /> ( SHADED AREA Tv BE FILLED IN FOR THE FIRST TANK ONLY ) <br /> rK( � S r7A A F kA^ ^ <br /> E ; OWNER NAME Ro r E/i s OWNER PHONE <br /> N CONTRACTOR CON . PHONE # <br /> E rr. ✓ ale er 15 . 61 q <br /> rC <br /> R <br /> R ' <br /> INSPECTOR c, f DATE e?(D TANK # 39 - / (SIS <br /> R RINSED (( ' METHOD LTessuc Gzrs RINSE AMOUNT i50 a l <br /> N RINSATE DISPOSAL SITE //II <br /> S AT �N2 ^VrCPS Pc nJ r55 <br /> 1 E MANIFEST # - OR- OTHER <br /> Ij <br /> VAPORS PURGED ( Y N ) METHOD / T P AMOUNT USED <br /> R 7 / <br /> P L . .E . L . READING AT REMOVAL ( MUST BE ( 20X ) <br /> 0 <br /> T R <br /> V1COMMENTS <br /> R <br /> N TANK MATERIAL 6,STESL FIBERGLASS , OTHER ) TANK SIZE <br /> K C I /J <br /> / 0 TANK CONDITI ( GOOD , POOR , HOLES ) <br /> N <br /> S F' IPE 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 /> F T ' - <br /> A Na rcLlO, c� rte . I: �< y 1 <br /> I N 4 C <br /> E K / S� II <br /> L � In ,J I <br /> D EXCAVATION SIZE : 1w X 23 X JiL 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 <br /> C N <br /> T G TRENCH DIMENSION X X YDS OF SOIL <br /> I — <br /> 0 H DEPTH TO G . W . : FT SAMPLING METHOD <br /> N <br /> 0 # OF HOURS SINCE DEWATERING : <br /> 0 OTHER SAMPLE : <br /> Hi <br /> LABORATORY : SAMPLERS NAME : i <br /> �_ of/Po ✓ c <br /> CLOSURE IN PLACE MIXTURE : VOLUME : <br /> H 23043 ( 10 / 89 ) DRAW SITE MAP ON REVERSE <br />