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PMS-EHD - UNDER, .BUND TANK CLOSURE/ABANDONMr-NT INSPECTION <br /> (SHADED AREA TO BE FILLED IN FOR THE FIRST TANK ONLY) <br /> OWNER NAME r <br /> E f -So S OWNER PHONE <br /> N CONTRACTOR CON. PHONE# %. <br /> _r 3 <br /> R SJLHD PERMIT # EPA # ' <br /> 1, FIRE PERMIT # /5�C� =7� <br /> A . , <br /> EF 03 w <br /> I NSPECTOR/i`' " DATE TANK <br /> R RINSED (YMETHOD <br /> I (I NSE AMt UNT <br /> N RINSATE DISPOSAL SI"fE <br /> S <br /> LEj <br /> MANIFEST # -OR- OTHER <br /> V VAPORS PURGED N) METHOD <br /> A AMOUNT USED <br /> P L. E. L. READING AT REMOVAL (MUST BE <br /> 0 <br /> T R COMMENTS <br /> A <br /> N TANK MATERIAL (STEEL, FIBERGLASS, OTHER) TANK SIZE <br /> K C <br /> / 0 TANK CONDITION (GOOD, POOR, HOLES) <br /> N <br /> S PIPE MATERIAL (STEEL, FIBERGLASS, OTHER) # FEET <br /> P T <br /> I PIPING CONDITION (GOOD, POOR, HOLES) <br /> N <br /> G DEPTH SOIL TYPE OBSERVATION <br /> T SAMPLE # <br /> F A <br /> I N . <br /> E K <br /> L <br /> D EXCAVATION SIZE: <br /> S X X YDS OF SOIL: <br /> I A DEPTH SOIL TYPE OBSERVATION , <br /> N M P SAMPLE # <br /> S P I <br /> F' L P w �t <br /> E I E <br /> C N <br /> T G TRENCH DIMENSION X X <br /> I YDS OF SOIL <br /> 0 H DEPTH 'f0 G. W. : FT <br /> N SAMPLING METHOD <br /> C► # OF HOURS SINCE DEWATERING: <br /> 0 OTHER SAMPLE: <br /> LABORATORY : SAMPLERS NAME : <br /> C>_OSURE IN PLACE MIXTURE: <br /> VOLUME: <br /> EH :3043 ( 10/89) DRAW SITE MAP ON REVERSE <br />