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7�6 PHS--EHD - UNDER '....BUND TANK CLOSURE/ABANDONM INSPECTION <br /> (SHADED AREA T0; BSE FILLED IN. FOR THE ,FIRST TANK ONLY) <br /> 9 aye pyo/ <br /> �.iG.tv� ' � ilvV WN <br /> OWNER NAME OWNER PHONE # <br /> E <br /> N ❑14TRA OR !t CON. PHONE# , <br /> E ( l,� 9 4�Q R 5 aV <br /> SJLHD PERM) <br /> R T # EFA # � i �, � RE PERMIT # �D <br /> 1 <br /> sa � <br /> L <br /> INSPECTOR DATE IAI TANK # <br /> l R RINSED (Y/ ) METHOD /�1 pie 4,1.E RINSE AMOUNT 6 <br /> I <br /> 1N RINSATE DISPOSAL SITE <br /> S <br /> E MANIFEST # —OR— OTHER <br /> r-, <br /> V VAPORS PURGED &N) METHOD AMOUNT USED <br /> A <br /> P L. E. L. READING AT REMOVAL (MUST BE < AUX) <br /> O . <br /> T R COMMENTS <br /> A <br /> N TANK MATERIAL STEEL FIBERGLASS, OTHER) TANK SIZE <br /> K C <br /> / O 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 /> GTK <br /> DEPT SOIL TYPE OBSERVATION SAMPLE # <br /> 172 <br /> F 1 r <br /> I D1. /ve <br /> EL <br /> DEXCAVATION SIZE: �.L. X 2 X_ LYDS OF SOIL DEPTH SOIL TYPE OBSERVATION <br /> N M P SAMPLE # <br /> S P IjflAm <br /> P L P <br /> E I E <br /> C N <br /> T G TRENCH DIMENSION oZ X X '/D YDS OF SOIL d� <br /> I <br /> 0 H DEPTH TO G. W. : FT SAMPLING METHOD <br /> N r� <br /> 11 <br /> 0 # OF HOURS SINCE DEWATERING: <br /> O OTHER SAMPLE: lNa` S - <br /> �r , <br /> L LL <br /> LABORATORY: F SAMPLERS NAME: Cvi A a <br /> CLOSURE IN PLACE MIXTURE: VOLUME: <br /> EH 23043 ( 10/89) DRAW SITE. MAP ON REVERSE <br /> f <br />