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PHS—EHD — UNDERGROL" ) TANK CLOSURE/ABANDONMENT(- VSPECTION <br /> (SHADED AREA TO i,,,,-F I LLED IN FOR THE FIRST T.`v0C ONLY) <br /> i, %/, Uri/, , „Ur,�OX�f'2/� /r i i�ArX'/ i/its Y�/r/i/ " �1/i.�!/iY!/iIl/i /��'D .,�f/rX�/i,/i,Ai,/i, !/�Yl//, •,�l/rYf/ /lX/i.�/rY/m/4,'ritr,Yl/Y(/,�/�i!!/,,�!/, <br /> �suCruiu��4if�rriaruuriuiuruiaruruiururuururruiurururucvruruiri H urur���iururuiuruiuiaiuilriviuruur ,curlr,�✓t�rucvruiuru�r uruiuiuru <br /> N iJ u 1.1 <br /> OWNER NAME OWNER PHONE # <br /> E <br /> N CONTRACTOR CON. f='HONE# <br /> E /. <br /> Rc SJLHD PERMIT # EPA # FIRE PERMIT ## <br /> L .0 UKP <br /> INSPECTOR �IiIN/ DATE 6 6Iql ITANK # 39 — /'a$7 — 3- <br /> R RINSED ( YON) METHOD RINSE AMOUNT , <br /> I <br /> N RINSATE DISPOSAL SITE <br /> S P �a_ ces P C <br /> E MANIFEST # —OR— OTHER <br /> V VAPORS PURGED &N) METHODD AMOUNT USED�3S�ys <br /> I A Ce. <br /> P L. E. L. READING AT REMOVAL (MUST RE C 20% 3 old i <br /> O <br /> T R COMMENTS <br /> A <br /> N TANK MATERIAL (STEEL, FIBERGLASS, OTHER) TANK SIZE <br /> K C <br /> / O TANK CONDITION (G00 POOR, HOLES) <br /> _ N <br /> S PIPE MATERIAL TEE FIBERGLASS, OTHER) # FEET <br /> P T <br /> I PIPING CONDITION (GOOD POOR, HOLES) <br /> N <br /> G DEPTH SOIL TYPE OBSERVATION SAMPLE # <br /> T <br /> F A /' A,)6 Nn o/ t o0o I <br /> I N /n A o i t / ✓ iQ <br /> EK <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 I <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 l <br /> N 2 <br /> 0 # OF HOURS SINCE DEWATERING: <br /> I 0 I OTHER SAMPLE: <br /> i <br /> LABORATORY: �GL SAMPLERS NAME: <br /> } CLOSURE IN PLACE MIXTURE: VOLUME: <br /> 2.3743 (10/89) DRAW SITE- MAP ON REVERSE <br />