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' RHS-EHD - UNDE�.dtOUND TANK CLOSURE/ABANDOI NT INSPECTION <br /> (SHADED AREA "TO BEFILLEDIN FOR; THE FIRST TANK; DNLY) <br /> + � <br /> OWNER NAME OWNER PHONE <br /> N CONTRACTOR �* p <br /> E ` G- G. CON. PHONE# <br /> R SJLHD PERMIT # EPA # I <br /> A . FIRE PERMIT # <br /> L <br /> INSPECTOR Y7" J ell <br /> icsDATE TANK #'p �� S9 - o� - ---�- <br /> R RINSED (Y/N) METHOD <br /> I RINSE AMOUNT <br /> N RINSATE DISPOSAL SITE <br /> S <br /> E MANIFEST # <br /> OTHER <br /> V VAPORS PURGED (Y/N) MET D <br /> A AMOUNT USED <br /> P L. E. L. READING AT REMOVAL (MUST BE < 20;x) <br /> 0 <br /> T R COMMENTS <br /> A MeD <br /> N TANK MATERIAL (STEEL, FIBERGLASS, OTHER) TANK SIZE <br /> K C <br /> / 0 TANK CONDITION (GO , POOR, HOLES) <br /> IN <br /> S PIPE MATERIAL (S EEL <br /> , . FIBERGLASS,T , FIBERGLASS, OTHER) # FEET <br /> I PIPING CONDITI N (GO <br /> N OD, POOR, HOLES) <br /> G DEPTH SOIL TYPE OBSERVATION <br /> T SAMPLE # <br /> F A � <br /> I <br /> L <br /> D EXCAVATION SIZE: it <br /> S X X YDS OF SOIL: <br /> I A DEPTH SOIL TYPE OBSERVATION <br /> N M P SAMPLE # II <br /> S P I <br /> P L P <br /> E I E <br /> C N <br /> T G TRENCH DIMENSION X X <br /> I YDS OF SOIL <br /> O H DEPTH TO G. W, : i <br /> N 2 -�-�---�— FT SAMPLING METHOD � <br /> 0 # OF HOURS SINCE DEWATERING: <br /> 0 OTHER SAMPLE: <br /> LABORATORY: CAL Oahu I - A s SAMPLERS NAME D^1 A-+� <br /> CLOSURE IN PLACE MIXTURE: ��`' <br /> VOLUME: <br /> EH 22043 ( 14/89) DRAW SITE MAP ON REVERSE <br />