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PHS—EHD — UNDERG^p! _.. <br /> D TANK CLOSURE/ABANDQNri'- 4 INSPECTION <br /> (SHADED AREA '��. - FILLED IN FOR THE FIRS-,)TANK ONL,YI <br /> TITAN V, <br /> v � NS7dNNoe- <br /> OWNER, I <br /> v2OWNER MOWNER PHONE # <br /> E S7a�-170�-.t <br /> N CONTRACTOR CON. PHONE# <br /> r <br /> l6vt <br /> E � 6r �S- F <br /> R SJLHD PERMIT # E SS3`f7i'2 FIRE/ cPyERMIT # mss 13S <br /> Lr�Pf�4L�'/, N <br /> INSPE T ,4,,,d DATE _3a _ / TANK # :,9 <br /> IRINSED Y N) METHOD��i pL� �rM Sa RINSE FiMOUNT 2� <br /> N RINSATE DISPOSAL SITE <br /> S ,# <br /> E MANIFEST # —OR— OTHER <1 <br /> VAPORS PURGED ( N) METHOD � AMOUNT USED <br /> ` <br /> P t-. E. L. READING AT REMOVAL (MUST BE' ( 20%) 2 a <br /> 0 <br /> T R COMMENTS <br /> A Gas Dies <br /> N TANK MATERIAL (ST FIBERGLASS, OTHER) TANK SIZE) <br /> K C S <br /> O TANK CONDITION (000 POOR, HOLES) <br /> N <br /> 1 S <br /> P T PIPE MATERIAL STEEL FIBERGLASS, OTHER) # FEET <br /> l�b <br /> I <br /> N PIPING CONDITION (GOOD (-BOOR, HOLES) <br /> G DEPTH SOIL TYPE OBSERVATION <br /> T S FELE # <br /> F A i <br /> IN . <br />' L K <br /> D <br /> S EXCAVATION SIZE: X X <br /> YDS OF SOIL: ; ds <br /> I A DEPT SOIL TYPE OBSERVATION <br /> N M P SAMPLE # <br /> I P � p <br /> E I E <br /> C N �3 <br /> TG <br /> TRENCH DIMENSION <br /> I X X YDS OF SOIL S <br /> 0 H DEPTH TO G. W. : <br /> N ....- 7t-FT SAMPLING METHOD <br /> G # OF HOURS SINCE DEWATERING: <br /> O OTHER SAMPLE: <br /> Jig <br /> LABORATORY: <br /> 11Ja� rad SAMPLERS NAME <br /> CLOSURE IN PL CE MIXTURE: VOLuNE: <br /> ;EH 2_3043 ( 10/89) <br /> DRAW SITE Mf-)P ON REVERSE <br />