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RHS-ESD - UNDERGRC!' 4D TANK CLOSURE%A9ANI)ONME '� INS�'ECTION <br /> T/ <br /> (SHADED AREA TO# ' FILLETD IN FOR THE FIRSTVK ONLY) <br /> r-`--�7�'.';".�i��i�'��..�,�Dr�Z'�i,> ,c�i�G,�.�Di.�.�'!i . . r,��i.'4Y,J�i r.��s�i.Jit?71,�r��Cl�,.��'�'D,.1,p�;tS�i.��.�.1.4/, r}�",r�.l�i,"�G�''✓f�J,' <br /> I' ;�' G/!Y!!/L!!!!!!!%!1/!!({✓.Gvl!/%V!/f//�!/la'!,(/.G�/!lllllJUlUd//1Jll!/JL'/!!Illllrl/!J/IJ�JYfYf'✓!'Jl4' lY,t'(!.6'1!/J!!1!!!b'.Ill.Uilul6/frJ/!!!/J!!/.l.G/1✓11!/!J!!!!!!!/.Ct/lirJ!%I �� <br /> �l i C tV7-ii �� i-FJJUtt�j.7 � l..L l Y <br /> ` OWNErR NAME OWNER PHONE # <br /> E !s <br /> j N CONTRACTOR CON.' -PHONE# <br /> c <br /> R SsLHD PERMIT # EPA # FIRE PERMIT # <br /> y. <br /> .� <br /> AGG� �!` . /i� G G <br /> L Y <br /> INSPECTOR �p�.�EN DATE �2/Zn R� TANK # 39 <br /> R <br /> I <br /> RINSED ,�N) METHOD ���Q ���5� RINSE AMOUNT <br /> ,r' { N RINSATE DISPOSAL SITE 1 <br /> S <br /> E MANIFEST # <br /> -OR- OTHER <br /> V I VAPORS PURGED OY N) METHOD f7�� ��� AMOUNT USED <br /> j P I L. E. L. READING AT REMOVAL (MUST BE < LQ;:) <br /> T I R i COMMENTS <br /> A <br /> N TANK MATERIAL S FIBERGLASS, ' OTHER) TANK SIZE,,--- <br /> ' <br /> K C <br /> 0 TANK CONDITION (GOOD, CP00-�� HOLES)' I ; <br /> N <br /> ~�y S I PIPE MATERIAL C FIScRGLASS, `OTHERS # FEET <br /> P t <br /> I r PIPING CaNDITION (GOOD, - f}O HOLES) <br /> t G I DEPTH I SOIL TYPE OBSERVATION SAMPLE n <br /> T <br /> F A � <br /> I N <br /> E }( j q <br /> L <br /> D EXCAVATION SIZE:^ Z� X^_ X " 1 3 YDS OF SAIL: <br /> i i s <br /> i I I A DEPTH SOIL TYPE OBSERVATION SAMPLE # . <br /> N I M P , 1 <br /> j , <br /> S P I <br /> j <br /> P ! L P <br /> E I E -77 , . <br /> C N <br /> T G TRENCH DIMENSION X X YDS OF SOIL <br /> I i <br /> (] H DEPTH TO S. W. : FT � SAMPLING METHOD � F <br /> i N E I <br /> i 1 . 0 # OF HOURS SINCE DEWATEiRING: { <br /> O OTHER SAMPLE: <br /> c i <br /> I � I LABORATORY: '� SAMPLERS _-NAME: I :� <br /> f <br /> ` CLOSURE IN PLACE MIXTURE VOLUME: <br /> _ F <br /> \270 4_7' ( lo/SS) DRAW SITE MAP ON REVERSE <br />