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PHSEW40 UNDERGRCUNI- TANK CLaSLft9-tA3A4GCNMSN,�' 'i�PEC T ZCN <br /> (SHADED AREA TO 3411, ;"—=.D IN FOR THE F:RST T ONLY) <br /> rarar r ararmmrmr �wAqar norrer�rarara�r�r aror��s�ar�r y ►,�. <br /> CWNER NAME CWNER PHONE # <br /> N CONTRACTOR � C CON. PHCNE* <br /> c <br /> R S.IL.HD PERM I T EFA # F I R£ PERM I T # <br /> A <br /> L <br /> INSaECTOR c; DATF_1-24 "1� TANK i1 39 — .a 3,.,,. -- 4,L <br /> METHOD �/`u�C.P.,�,� ( RINSE AMOUNT <br /> t <br /> V RINSATE DISPOSAL SITE <br /> S , <br /> MANIFEST # —OR— 0'i rER <br /> V VAPORS PURGED (Y/N) � METHOD � AMCUNT USED <br /> A <br /> P L.E.L. READING AT RFAMCVAL. (MUST 3E ( EO-A) L <br /> 0 . <br /> T R CCMMENTS <br /> A <br /> N TANK MATERIAL (ST?—L, FI3ERGLASS, OT;-fER) TANK SIZE 10 <br /> K C <br /> / 0 TANK CONDZTZCN (GCOD, PGOR, HOLES) <br /> :. N <br /> S PIPS MATERIAL. (ST=.f-, F I3ERGLASS, OTHER) <br /> P T J <br /> I PIPING CCNDITrON (GCOD, . GOR HCL_S) �' �! <br /> N <br /> G DEPTH I SOIL TYP; OBSERVATION J , AMPL # <br /> T <br /> A <br /> I N <br /> KlAfg <br /> v x f ' roe <br /> Lcl vo <br /> D EXCAVATION SIZE: X X YDS OF SOIL,.: <br /> S <br /> I A DEPTH SOIL TYPS OBSERVATION SAMPLE <br /> N M P II <br /> S P I .r <br /> P L PA ` <br /> I E <br /> C N <br /> T G TREN04 DIMENSION X X YDS OF SOIL <br /> I <br /> a H DEPTH TO G.W. : �_____� FT � SAMPLING ME'T HCO <br /> N z <br /> 0 # OF HCURS SINCE DEWATERING: <br /> 0 OTHER SAMPLE: <br /> L.ASORATORY: SAMPLERS NAME: <br /> CLOSURE IN PLACE � MIXTURki : (• VOLUME: <br /> I 2-ro4z. (i0/A4) DRAW SITE MRP ON REVERSE . <br />