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PHS-EHD - UNDER ND TANK CLOSURE/ABANDONM`( INSPECTION <br /> (SHADED AREAA/ T BE �FILLED IIN FOR THE FIRST TANK ONLY) <br /> S G i <br /> E OWNER <br /> N CONTRACTOR CON. PHONE# <br /> E <br /> R SJLHD PERMIT # EGA # FIRE PERMIT # <br /> A <br /> L / <br /> INSPECTOR DATE ( �/30 ��� TANK # 39 <br /> R RINSED (Y N) METHOD RINSE AMOU <br /> I <br /> N RINSATE DISPOSAL SITE <br /> S <br /> E MANIFEST # -OR- OTHER <br /> V VAPORS PURGED ( /N) METHOD AMOUNT USED-3o /)e <br /> AYG<¢. <br /> P L. E. L. READING AT REMOVAL (MUST BgJ < 20-/) <br /> 0 <br /> T R COMMENTS <br /> A <br /> N TANK MATERIAL (STEE , FIBERGLASS, OTHER) TANK SIZE <br /> K C <br /> / 0 TANK CONDITIONOOD POOR, HOLES) % <br /> -r No <br /> S PIPE MATERIAL (STEEL, FIBERGLASS, OTHER) # FEET <br /> P T <br /> I PIPING CONDITION (GOOD, POOR, HOLES) <br /> N <br /> G T DEPTH SOIL TYPE OBSERVATION SAMPLE # <br /> F q <br /> I N <br /> E K <br /> L <br /> D S EXCAVATION SIZE: X I a X YDS OF SOIL: <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 2 <br /> 0 # OF HOURS SINCE DEWATERING: <br /> FOTHER SAMPLE: <br /> LABORATORY: Mclfea,,Lw SAMPLERS NAME : �� Q' <br /> CLOSURE IN PLACE MIXTURE: VOLUME: <br /> EH 23o43 ( 10/89) DRAW SITE MAF' ON REVERSE <br />