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PUBLIC SZ t ICES—ENVIRONMENTAL JtNA D <br /> IV'LSSON <br /> S ADDRESS S.60CITY <br /> 0 PHONE # <br /> CON!RACTOR ( !CONT. PHONE ` <br /> FIRE PERMIT � <br /> REMOVAL_ CLOSURE 3 PLACE TEMPORARY CLOSURE <br /> INSPECTOR Cl DATE 1 1_ 6 TAN= # 39 I g(v <br /> R RINSED 401T) MEEEOD "fi;V RlXSE UNT <br /> I <br /> N RINSATE DISPOSAL. SIT✓' <br /> S <br /> E MANITEST OR OTSER <br /> V VAPORS PURGED (Y ) �NETHOD AMOUNT USED <br /> A <br /> P READING AT R—MfOiTAL L.E.L. :r 02: <br /> O <br /> R 1COMMM4TS <br /> C TANK NATM TAL (STEEL, FIBERGLASS, OTMM) mAf- <br /> o <br /> ri <br /> N TANK CONDITION (GOOD, POOR, HOLES) <br /> S <br /> T PIPE MATZ^?IAL (STMEL, F BERGLASS, OTHER) It FEET <br /> PIPE CONDITION (GOOD, POOR, HOLES) <br /> DEPTH I SOIL TY?3 I OBSMZ=ON , SAMPLE <br /> T i I <br /> A 1 1 <br /> N 1 I <br /> S EXCAVATION SIZE X X YDS OF SOIL <br /> A <br /> M DEPTH SOIL TYP3 OBSzVgTION SAMPLE <br /> P P 1 <br /> L I + <br /> I P E 1 <br /> N E <br /> G <br /> TRENCB DIMmSICN X X YDS OF SOIL <br />�y. <br /> ' DEPTH TO G.A. : FT. SAMPLING METHOD <br /> H - <br /> 2 HOURS SINCE Dr A2EIING: <br /> a•:' D <br /> OTH SAMMME: S PO4, c <br /> LABORATORY: C�o�rye saMPLERs Nom: <br /> CLOSURE IN PLACE M3nMl=: VOLS: <br /> EH 23-0043 (RIEV 2/23/94) PROVIDE SITE NAP <br />