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i <br /> Ile- <br /> PHS-EHD -- UNDERGR� Q TANK CLOSURE/ABANDONME INSPECTION <br /> (SHADED AREA TO BE FILLED IN FOR THE FIRST TANK ONLY) <br /> M10.1 ////u/W WW/rr% ' u ru7WN <br /> � u u / u u`7P(/rrOr� �crv /cf°n:,/P <br /> NAME - HONE # <br /> EC,e r/r0� ei lysc <br /> N ACTOR G��� COQ. H NE# <br /> E <br /> R ERMIT # EPA #Ci1CCcr0�9(o�f FIRE PERMIT # <br /> A <br /> L- _ <br /> INSPECTOR d Z DATE ���G/93 TANK # 39 -- // 3S - oz� <br /> IRINSED (§>N) METHOD .RINSE AMOUNT a? <br /> N RINSATE DISPOSAL SITE X� �I <br /> E MANIFEST # -OR-- OTHER <br /> V VAPORS PURGED ON) METHOD-744 AMOUNT USED iDlb`icaa°� <br /> A I .viltws <br /> P L. E. L. READING AT REMOVAL (MUST BE ( 20%) t o <br /> O <br /> T R COMMENTS <br /> A <br /> N TANK MATERIAL (STEEL FIBERGLASS, OTHER.) TANK SIZE /o/ 0 OD y <br /> K C <br /> / 0 TANK CONDITION OD, POOR, <br /> N <br /> r Se='IPE MATERIAL STEEL FIBERGLASS. 0TH # FEET 1-70 - <br /> P T - <br /> I PIPING CONDITION (GOOD,, 'OOR. 1?0� �+„ kms- =f7 ,'-e� <br /> N <br /> G10 <br /> DEPTH SOIL TYPE -OBSERVATION LE # <br /> T <br /> F A / .7 d o Zr�o--�-, --j v t <br /> E K <br /> L ► �` z r . t. S su 1[sr F <br /> ' D EXCAVATION SIZE: r X � X �/ r YDS OF SOIL: <br /> #$ S _ <br /> #` I A DEPTH SOIL TYPE OBSERVATION SAMPLE # <br /> f N M UE <br /> S P Gam” a I P <br /> R L <br /> E I n v o-a t,yc3/ �r l lC N <br /> T GTRENCH DIMENSION �X X YDS OF SOILJ40y <br /> I <br /> 0 H DEPTH TO G. W. : FT SAMPLING METHOD R <br /> N <br /> 0 # OF HOURS SINCE...DEW_ATERI`NG,p <br /> OTHER SAMPLE: <br /> LABORATORY: , C.o,JGORA SAMPLERS NAME: '10 <br /> n vat <br /> -7 - S38'-� <br /> /. <br /> CLOSURE IN PLACE\_ ��MIXTURE: VOLUME: <br /> EH 2.3043 ( 10/89) DRAW SITE MAP ON REVERSE <br /> r - <br />