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PUBLIC SMVICES-ENVIRO 't'nr. DIVISION <br /> SITE2mDRESS�'bb CITY <br /> . 0 I OWNER PHONE if CZ <br /> CONTRACTOR O I`' CONT. PHONE P <br /> r= PST f V-3 0 1 M F 8 R o-vt. <br /> REMOVAL CLOSURE ZY PLACE TE.. RARY CLOSURE <br /> INSPECTOR'$-/'; f gTANK # 34 <br /> R R2Nsm N) D aleRTYSE AMOUNT <br /> N RINSATE DISPOSAL SITr' <br /> S <br /> E MAXI7EST # OR OTHER <br /> V VAPORS PURGZD 0-24) +NETHOD j C jL.-- AMOUNT USED <br /> A <br /> P READING AT R""X0VAL � L.E.L. :� � 02: JZ <br /> O <br /> R COM-MENTS <br /> Lo <br /> ! C TANK1T �T. (STEL, r TBMWLA.SS, OTH£R)=,ftjLtz, <br /> y j. F� <br /> o <br /> jag*QN&dDa'm <br /> N TANK CONDIZ''ION (GOOD, POOR, HOLES) <br /> S <br /> T PIPE MAT=XL (S"El"'C, rIBERGLA.SS, OTRER) <br /> PIPE CONDITION (GOOD, POOR, HOLES) <br /> j DEPTH I SOIL T3 JOBSZW=ON , sa LZit l <br /> AI I I <br /> N15 <br /> ! I <br /> R I I <br /> { I I <br /> I <br /> S EXCAVATION SIZE % XYDS OF SOIL <br /> A - - <br /> M DF:PTS SOIL T' PE I OBSEIt =ON SALE # <br /> ii P P I <br /> f LI I I <br /> I P i <br /> N E I <br /> G <br /> TRENCH Dn4'.>`TSICN X X YDS OF SOIL <br /> DEPTS TO G.A. : FT. SAMPLING METHOD <br /> S <br /> 2 ` HOURS SINCE DF ILTER33TC: <br /> 0 <br /> OTHER SAMPLE: S P i )9J '9p/a/ s / <br /> LABORATORY: SAMPLERS NAME: <br /> CLOSURE IN PTA C.T' X'mmAr: VOLDME: <br /> EH 23-0043 (RZ7 2/23/9-40• PROVIDE S2TE MAP <br />