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PHS-EHD - UNDER*UND TANK CLOSURE/ABANDONr�vT INSPECTION <br /> (SHADED AREA BE FILLED IN FOR THE FIRb,../TANK ONLY) <br /> OWNER" NAME <br /> E 5� � OWNER PHONE <br /> N CONTRACTOR <br /> E ��CJ �� CON. PHONE# <br /> ,. <br /> R SJLHD PERMIT # EPA # <br /> A . FIRE PERMIT # , <br /> L ' <br /> NSPECTORVl�;C DATE Cl''�l 'a3'' / TANK # 39 <br /> R R I NSED Y N) METHOD'�j4,� }t.1/VV--) R I NSE AMO T <br /> I � ' /p eon <br /> N RINSATE DISPOSAL SITE <br /> S �. <br /> E MANIFEST # -OR- OTHER l <br /> 5-c <br /> V VAPORS PURGED (Y N) METHOD <br /> A � �� AMOUNT USED <br /> P L.E. L. READING AT REMOVAL (MUST BE < 20%) <br /> 0 0 <br /> r <br /> T R COMMENTS <br /> A <br /> N TANK MATERIAL (STEEL, FIBERGLASS, OTHER) TANK SIZE <br /> K C <br /> / 0 TANK CONDITION (GOOD, POOR, HOLES) <br /> N a-4�ilP.ue ,�2�rr -oysc,a, <br /> S PIPE MATERIAL (STEEL, FIBERGLASS, OTHER) # FEET <br /> P T <br /> I PIPING CONDITION (GOOD, POOR, HOLES) <br /> N <br /> GT !7u <br /> DEPTH SOIL TYPE OBSERVATION SAMPLE # <br /> I <br /> F q <br /> I N Am <br /> E K <br /> L <br /> D EXCAVATION SIZE: X X YDS OF SOIL: <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 <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 <br /> 0 # OF HOURS SINCE DEWATERING: <br /> 0 OTHER SAMPLE: <br /> LABORATORY: r.l SAMPLERS NAME: <br /> CLOSURE IN PLACE MIXTURE: VOLUME: <br /> EH 232043 (10/89) DRAW SITE MAP ON REVERSE <br />