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PHS-EHD - UNDERf'�1ND TANK CLOSURE/ABANDONf '' INSPECTION ° <br /> (SHADED AREA �'gBE FILLED IN FOR THE FIRSm I ONLY) <br /> y Cav cN <br /> 10670,0 S rbc ggdJ <br /> OWNER-NAME QraN.tc Co.�s OWNER PHONE #Cor�xc)L 0� r/oopIck <br /> E -/Trt 4"m So c . <br /> N CONTRACTOR CON. PHONE# <br /> E ArbN 5oN E �N�r� Q/6 - SI - 64[7 <br /> R SJLHD PERMIT # EPA # c4t000 FIRE PERMIT # �oZ� <br /> A• i� � Q3'/tS <br /> 1 <br /> INSPECTOR C+ DATE1;12�92 TANK # 39 - /233 - �- <br /> IRINSED Y N) METHOD P%PSSUrC QS FtINSE AI+ <br /> N RINSATE DISPOSAL SITE [ ✓ <br /> S ®rve%srvv e.jgp'jj% — See IQIN mem," cT <br /> E MANIFEST # Q06y 8d 33 -OR- OTHER <br /> V VAPORS PURGED I&N) METHOD AMOUNT USED <br /> P L.E. L. READING AT REMOVAL (MUST BE < 20%) 06/o <br /> O <br /> T R COMMENTS <br /> A A /Mfr Lou MceW of !rP.✓cf° Gft#I #G L.oz. . <br /> o at! <br /> N TANK MATERIAL STEEFIBERGLASS, OTHER) TANK SIZE ' S <br /> K C o Wo- trot <br /> / 0 TANK CONDITION (GOOD, POOR, HOLES) ' • <br /> N iii ter <br /> S PIPE MATERIAL (STEEL, FIBERGLASS, OTHER) # FEE•f �� <br /> P T <br /> I PIPING CONDITION (GOOD, POOR, HOLES) <br /> N <br /> G DEPTH SOIL TYPE OBSERVATION <br /> 7' SAMPLE # <br /> F A o aara, No o yr Ns rsco to pr+ <br /> I N e, / o <br /> { E K <br /> I L <br /> D <br /> EXCAVATION SIZE: X 9 X /S' YDS OF SOIL: <br /> S � S <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 DIMENSION X X <br /> I YDS OF SOIL <br /> 0 H DEPTH TO G. W. : FT SAMPLING METHOD <br /> N 2 <br /> 0 # OF HOURS SINCE DEWATERING: <br /> 0 OTHER SAMPLE: <br /> L✓a//aet - kms/ ssctia /93� <br /> A �s 9/6- • 'ia <br /> LABORATORY: !1/Csffa6s Oavtr C4 SAMPLERS NAME: <br /> M� eP�nl <br /> CLOSURE IN PLACE MIXTURE: VOLUME: <br /> EH 23043 ( 10/89) DRAW SITE MAP ON REVERSE <br />