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PHS-EHD - UNDER '1ND TANK•'CLOSURE/ABANDON' INSPECTION. <br /> F (SHADED AREA TE FILLED IN FOR THE FIRST: NK ONLY) <br /> � i iu'iii,vr���'�iri�rurur����7"J,v ������":7uiir y��ii i7"f.�i�7• '�T r iriv�ijir�r�i7u r ;, <br /> 'moo'V. /'TJ cr ri ar q <br /> OWNER NAME �.//r4.-ns OWNER PHONE # - <br /> N CONTRACTOR CON. PHONE# <br /> E C i-i S Con 5�• ,� __ <br /> R S.FLHD RMIT # EPA # FIRE PERMIT # <br /> L : <br /> INSPECTOR C Ori DATE y�2s��i TANK # 2,c) -- 222 <br /> R RINSED ®/N) METHOD � ;� ,. R I NSE :,AMOUNT qs� <br /> N RINSATE DISPOSAL SITE /Pli�os <br /> S <br /> E MANIFEST # -OR- OTHER <br /> V -VAPORS PURGED ON) METHOD c?6y ♦ce AMOUNT ';USED <br /> A <br /> P L. E. L. READING AT REMOVAL (MUST BE C20%) <br /> O < <br /> T R COMMENTS <br /> K TANK MATERIAL STE FIBERGLASS, OTHER) TANK 'S I ZEE <br /> C Z coos f <br /> / 0 TANK CONDITION (GOOD, PQ[]R HOLES) <br /> N <br /> x' S PIPE MATERIAL , FIBERGLASS, OTHER) # FEET, G � <br /> P T I r <br /> I PIPING CONDITION (GOOD, -OOP HOLES <br /> N <br /> G DE H SOIL. TYPE OBSERVATION SAMPLE j;# <br /> F A <br /> I N ' s A� s i• <br /> E K <br /> L <br /> D EXCAVATION SIZE: X X YDS OF SOIL-v- <br /> S <br /> I A DEPTH SOIL .TYPE OBSERVATI SAMPLE ''# <br /> N M P <br /> S p I <br /> P L P �. <br /> E I E <br /> C N <br /> T G TRENCH DI ION X X, YDS OF SOIL <br /> I y <br /> O H DEPTH TO G. W. : FT SAMPLING METHOD <br /> N <br /> 0 # OF HOURS SINCE DEWATERING: <br /> lO OTHER SAMPLE: ; <br /> LLI �LABORATORY: fGE � SAMPLERS NAME:CLOSURE. IN PLACE MIXTURE: VOLUME: <br /> =H 22,043 (10/89) DRAW SITE MAP ON REVERSE <br /> wed=-- <br />