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FfiS .-i0 UNOERGRCUVD TANK CLOSUft/AjANDCr4MNT ��a£CT ZCN <br /> (S'e�ADE] AREA 'i'CT `i C.L I N FOR THE F I RST i ONLY) <br /> r , <br /> -R �' ' 4' d+OY g5d901'd17 + �' JI' <br /> �L t:. i J/ 1lllt/1'1G3.7 �c 1 f <br /> (rG• , <br /> CWWR NAME OWNER PSONE � <br /> c <br /> N CONTRACTOR CON. PHONE* <br /> R SJLHD PERM IT # EPA it F I RE PERM I T <br /> A <br /> FilmsP£CTOR cipa, DATE"� " TANK 0 39 <br /> R RINSED /N) METHOD I RINSE AMOUNT <br /> i <br /> N RINSATE DISPOSAL SITE <br /> S <br /> a AIA,V i—ST 8 —CR— O T HER <br /> V VAPORS PURGED (Y/N) METHOD AMCL:NT USED <br /> A <br /> P L. E.L. READING AT REMOVAL. (MUST BE C a0%) <br /> 0 <br /> T R COMMENTS <br /> A <br /> N TANK MATERIAL (ST=" L, F23EASL.ASS, OTiiER) TANK SIZE <br /> K C ° <br /> ./ 0 TANK CONDITION (GO00, PGCR, HOLES)N <br /> S PIPS MATERIAL CST,'.='L, FI3ERSLAS3, OTHER) <br /> P T <br /> L PIPING CONDIT;ON (GOOD, POOR, HOLES) <br /> N <br /> r DEPTH SOIL TYP£ OBSERVATION SrMPL_ <br /> T <br /> A <br /> I N3 iv t <br /> a <br /> K <br /> L <br /> 0 EXCAVATION SIZE: _ X X YDS OF SOIL: <br /> S <br /> I A DEPTH ! SOIL TYPE OBSERVATION SAMPLE S <br /> N 9 P <br /> S P I - <br /> P L P <br /> I E <br /> C N <br /> T G Thi D I MENS I GN ._._ X _,_, X YOS OF SOIL <br /> I <br /> 0 H DEPTH TO S.W. : FT SAMPLING METHttD ' <br /> N 2 <br /> 0 B OF HCURS SINCE DE114ATERIN6: <br /> O OTHER SAMPLE: <br /> LABORATORY:6aAgf 'co C. ! SAMPLERS NAME: <br /> CLC5LIRE IN PLACE I MIXTURE: �• VOLUME: <br /> 4 2-?04X (LO/84) DRAW SITE MAP ON REVERSE . <br />