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PHS-EHD - UNDEQ _3UND TANK CLOSURE/ <br /> (SHADE,yD� AREA TO <br /> BE FILLED I N FOR AHEBEORST'vTANK SONLY)PECTION <br /> OWNER NAME <br /> � ER PHONE # ' <br /> N CONTRACTOR ��� c - <br /> En`f�G� CON. PHONE# <br /> R SJLHD PERMIT # t-r <br /> A . ' EPA ## FIRE PERMIT # <br /> L <br /> INSPECTOR C G L DATE <br /> 9D TANK # 39 <br /> R RINSED ( N7 METHOD rr %C soh <br /> N <br /> S .� <br /> E MANIFEST # <br /> -OR_ OTHER <br /> V VAPORS PURGED ON) METHOD 1jr� �c AMOUNT USED <br /> A <br /> P L. E. L. READING AT REMOVAL (MUST BE < EG%) <br /> 0 <br /> T R COMMENTS <br /> A <br /> N TANK MATERIAL TEE FIBERGLASS, <br /> K C OTHER) TANK SIZE <br /> / D TANK COND I T I ON ' (GOOD, <br /> N POG HOLES) o� <br /> 1.. S PIPE MATERIAL TEE FIBERGLASS, OTHER) # FEET <br /> P T <br /> I <br /> N PIPING CONDITION (GOOD, Q!f�b HOLES) <br /> G DEPTH SOIL TYPE OBSERVATION <br /> T SAMPLE # <br /> F A /tam _ ,ii fh <br /> I �sCc�lcr7u �Fv�, �c <br /> N <br /> E K <br /> L <br /> D EXCAVATION SIZE: p' <br /> S � X -� X YDS OF SOIL: <br /> I A DEPTH SOIL TYPE OBSERVATION <br /> N M P SAMPLE # <br /> S P I <br /> P L P <br /> E I E <br /> C N <br /> T G TRENCH DIMENSIONS� YDS OF SAIL - <br /> I a YC <br /> I-2 <br /> H DEPTH TO G. W. <br /> N FT SAMPLING METHOD <br /> 0 # OF HOURS SINCE DEWATERING: <br /> 0 OTHER SAMPLE: i <br /> i <br /> LABORATORY: <br /> h✓i ran. NAME. <br /> CLOSURE IN PLACE MIXTURE: . a Bract` " <br /> VDLUM'E; - <br /> EH 22043 ( 10/89) DRAW SITE MAP ON REVERSE <br />