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! <br /> PUBLIC H TH Sr VICES-ENVLRONMENTAL%P A.LTH DIVISION <br /> SITE NAME �' � TAJDDRiSS S'P.._.&p CITY <br /> OWNER NAMEErlfr M---� OWNER PHONE <br /> CON'T'RACTOR f CONT. PHONE <br /> FIRE PERMITIr <br /> 5 •� • Ga <br /> REM VAL CLOSURE LN PLACE TEMPORARY CLOSURE <br /> INSPECTOR �! DATE I ,q--- TANK iO 3 9 �6/Z f2 -- <br /> R RINSED T) METHOD --7'Xe#4a Q !05'� RINSE AMODNT"� <br /> I <br /> N RINSATE DISPOSAL SITE > G Tom" • <br /> S <br /> E MANIFEST 9 7 3�.3,?6&>V OR OTHER <br /> V VAPORS PURGED eZI-16) METHOD � r AMOUNT USED <br /> A ' <br /> P READING AT REMOVAL L.E.L. : 02: <br /> O <br /> R COMM ENTS <br /> i <br /> C TANK HATERrAL ( , FIBERGLASS, OTHER) <br /> O <br /> N TANK CONDITION (GOOD, ,. HOLES) <br /> S <br /> T PIPE MATERIAL STEEL' FIBERGLASS, OTHER) FEET <br /> PIPE CONDITION (GOOD, 00 HOLES) <br /> DEPTH SOIL TYPE OBSERVATION SAMPLE r <br /> T 3 f <br /> N i <br /> K I <br /> S EXCAVATION SIZE "'Z��X '?3/ ~ X""2.--7 <br /> YDS OF SOIL <br /> A <br /> M DEPTH I SOIL TYPE OBSERVATION SAMPLE <br /> P P ! <br /> L I f <br /> I P <br /> N E ! <br /> G <br /> TRENCH DzmmTSION X X YDS OF SOIL <br /> DEPTH TO G.W. : FT. SAMPLING METHOD <br /> H <br /> 2 0 HOURS SINCE DEWATERING: <br /> 0 <br /> OTHER SAMPLE: <br /> LABORATORY: � "'�' ay SAMPLERS NAME: <br /> CLOSURE IN PLACE I ?EXTURE: VOLUME: <br /> EH 23-0043 (REV 2/23/94) PROVIDE SITE MAP <br />