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PHS-EHD - UNLERE ND TANK CLOSURE/ABANDONM INSPECTION <br /> (SHADED AREA TU�E FILLED ,yIN FOR THE F I RSl YANK ONLY) py <br /> t� iuii Iii%viduir ui Ir ai r r /r a a u GiGraoviu rr ri� u^G� %Jb�HER"I <br /> G77e(, G <br /> G OWNER NAME, u� C� -t` OWNER PHONE <br /> E <br /> N CONTRACTORk/e /( t2� CON. PHONE# <br /> E /`� <br /> R SJLHD PERMIT # EPA # FIRE PERMIT # <br /> A <br /> L <br /> INSPECTOR �jrSc ,. DATE S-!-J ' TANK # 39 <br /> R RINSED (Y/N) METHOD RINSE AMOUNT <br /> I <br /> N RINSATE DISPOSAL SITE <br /> S <br /> E MANIFEST # —OR— OTHER <br /> V VAPORS PURGED (Y/N) METHOD AMOUNT USED <br /> A <br /> IL <br /> L. E. L. READING AT REMOVAL (MUST BE ( 20%) <br /> T COMMENTS <br /> A <br /> N TANK MATERIAL (STEEL, FIBERGLASS, OTHER) TANK SIZE <br /> K C <br /> / 0 TANK CONDITION (GOOD, POOR, HOLES) <br /> N <br /> l S F'I F'E MATERIAL (STEEL, FIBERGLASS, OTHER) # FEET <br /> P T <br /> I PIPING CONDITION (GOOD, POOR, HOLES) <br /> N <br /> G I 14DEiPTH SOIL TYPE OBOERVIATION SAMPLE # <br /> T <br /> I N Q,. <br /> E K r - — <br /> L o z � n ✓a •;...Z <br /> D EXCAVATION SIZE: X X YDS OF SOIL: <br /> S <br /> I A DEPTH SOIL TYPE OBSERVATION SAMPLE # <br /> N M <br /> P L <br /> E I <br /> C N <br /> T G TRENCH DIMENSION X X YDS OF SOIL <br /> I <br /> 0 t4 DEPTH TO G. W. : FT SAMPLING METHOD <br /> N 2 <br /> G # OF HOURS SINCE DEWATERING: <br /> aOTHER SAMPLE: <br /> LABORATORY: SAMPLERS NAME: <br /> CLOSURE IN PLACE MIXTURE: VOLUME: <br /> .H 2_043 ( 10/89) DRAW SITE MAP ON REVERSE <br />