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PHS—EHD — UNDERGRp4D TANK CLOSURE/ABANDONME�INSPECTZON <br /> (SHADED AREA TO FILLED IN FOR THE FIRST NK ONLY) <br /> �, ,�.sz������/���!///Jy�,�.�..��a� z ,�,rv,.�a�.�v.�.ro ✓.z <br /> ,�({ J��C�V NI*I t Ia'Ju//J/UIaI4Jd'/!/!4/O'/4/U/I//!/JI//dLd/JJIIJLVJ!//I///NL L ttt JJ/CJf//J//!//dJ(//J!////d/U/4/UJU/��4'L'/JJ!/U/4/U/d/L%/!iv/U/U/I/J!/• . <br /> ! L10 t I <br /> 11 OWNER NAME OWNER PHONE # <br /> N CONTRACTOR CON. PHONE* <br /> I R : SSL: D PERMIT # EPA # FIRE PERMIT # <br /> i A <br /> R-- <br /> G WON J(MG G` A �J G /r �J/i ��/ <br /> L rt�l USGK Lt IN M 1 CP K U U UK <br /> II <br /> I NSPECTOR'\ It'r\\' `, U DATE ,`I,Z1=`I Z- TANK # 39 <br /> i <br /> ITEMANIFEST <br /> NSED Y/.N) METHODRINS'c AMOUNT NSATE DISPOSAL SITE# —OR— OTHER <br /> VV ; VAPORS PURGED Y/N) METHODUral ��0 . AMOUNT USED <br /> I ! P L. E. L. READING AT REMOVAL (MUST BE < 20%) q 0 UZ <br /> 0 <br /> T R COMMENTS <br /> A <br /> N I TANK MATERIAL .(STEEL FIBERGLASS OTHER) I TANK SIZE 6 <br /> -,/j <br /> 0 I TANK CONDITION (GOOD, POOR, HOLES) Not `k <br /> �c N <br /> S PIPE MATERIAL (STEEL, FIBERGLASS, OTHER) # FEET i <br /> P T <br /> i I PIPING CONDITION (GOOD, POOR, HOLES) I <br /> N <br /> GTYPE A BSERVAT ON I SAt l;E # I <br /> T Ili h" P : ti <br /> i E K <br /> L I <br /> D I EXCAVATION SIZE: X XJ ' 'L 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 /> i' E I E <br /> C N <br /> IG TRENCH DIMENSION X _ X YDS OF SOIL <br /> O H DEPTH TO G. W. : FT SAMPLING METHOD <br /> N a <br /> I O # OF HOURS SINCE DEWATERING: <br /> j 0 I OTHER SAMPLE: <br /> i <br /> , I <br /> LABORATORY: SAMPLERS NAME: <br /> 1 CLOSURE IN PLACE I MIXTURE: Ii I VOLUME: <br /> EH 2:043 (10/8?) DRAW SITE MAP ON REVERSE ! <br />