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RHS-EH0 - UNDEF % JND TANK CLOSURE/ABANDON-`` ��T INSPECTION <br /> ,(SHADED AREA I BE FILLED IN FOR THE FIR:.Y�ANK ONLY)) <br /> own <br /> 7 i lm NjH!'I L'J'Y'N'O'6191YO'N' �dtl'N'q'O' M �' ,? Y' IYtl'N' 11..1 1 f �'rlEs'17'dY M'0'LY <br /> OWNER NAME OWNER PHONE K� <br /> i E ' <br /> N CONTRRCTOR:E 01` CON. PHONE# <br /> C <br /> R SJLHD PERMIT # EPA # FIRE PERMIT # <br /> A <br /> L K f N U H Lt C 1 KMule I <br /> S. <br /> INSPECTOR is DATE//:? Q TANK # 39 <br /> R RINSED (Y/N) METHOD I RINSE AMOUNT <br /> I <br /> N RINSATE DISPOSAL SITE <br /> S <br /> E MANIF-EST # -OR- OTHER <br /> V VAPORS PURGED CY ) METHOD AMOUNT USED <br /> A <br /> P L. E. L. READING AT REMOVAL (MUST BE < 20%) <br /> 0 <br /> T R i COMMENTS <br /> A , <br /> N j TANK MATERIAL (STEEL, FIBERGLASS, OTHER) ' TANK SIZE <br /> K ' C 1 <br /> / O i TANK CONDITION (GOOD, POOR, HOLES) i <br /> i91A1i"' ±. N <br /> I S I PIPE MATERIAL (STEEL, FIBERGLASS, OTHER) # FEET <br /> P T <br /> I PIPING CONDITION (GOOD, POOR, HOLES) <br /> G DEPTH I SOIL TYPE OBSERVATION I SAMPLE # <br /> T 72 <br /> � . <br /> F A11 y > . <br /> I N I <br /> n <br /> E K a <br /> D I EXCAVATION ZE: X X DS OF SOIL: s6LQ pi �� Tt5 <br /> S <br /> I A DEPTH SOIL TYPE , OBSERVATION SAMPLE # <br /> N M P - <br /> S P I <br /> P L P <br /> ) E I E i <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 /> i 0 # OF HOURS SINCE DEWATERING: <br /> ; <br /> 0 OTHER SAMPLE: <br /> , <br /> LABORATORY: &"Qp rry� C4� SAMPLERS NAME: <br /> CLOSURE IN PLACE MIXTURE: ( VOLUME: <br /> EH 23043 (19/89) DRAW SITE MAP ON REVERSE <br />