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IV PHS-EHD - UNDERGRIWD TANK O OR <br />CLOSURE/ABANDONME*INSPECTIOn <br />(SHADED AREA TFILLED IN FR THE FIST NK ONLY) <br />C N <br />T G TRENCH DIMENSION X X <br />I YDS OF SOIL' <br />0 H DEPTH TO G. W.: FT SAMPLING METHOD <br />N 2 <br />0 # OF HOURS SINCE DEWATERING: <br />0 OTHER SAMPLE: <br />LABORATORY: Pltl6AI4�e_ alg= SAMPLERS NAME: <br />CLOSURE IN PLACEJ MIXTURE: VOLUME: <br />EH 23043 (10/89) <br />DRAW SITE MAP ON REVERSE <br />F1112AMI <br />M -E., <br />any <br />OWNER -NAME_ <br />OWNER PHONE # <br />CONTRACTOR <br />CON. PHO•NE# <br />SJLHD <br />PERMIT # <br />YAP <br />FIRE PERMIT # <br />.z Ir ✓A" 1/1 <br />- - - - - - - - - - - - - - - <br />Fri, <br />fm <br />wjrIll <br />wj;nrf� <br />INSPECT9 - A <br />fillip. 'ANK # 39 <br />• <br />RINSED (Y <br />METHOD <br />RINSE AMOUNT <br />RINSATE DISPOSAL SITE <br />MANIFEST # <br />-OR- OTHER <br />VAPORS PURGED *IN) <br />METHOD,��e Y <br />AMOUNT USED <br />L.E. L. READING AT REMOVAL <br />(MUST BE <br />T <br />N <br />K <br />TANK MATERIAL (STEEL, <br />TANK SIZE <br />--WAG <br />P <br />PIPE MATERIAL (STEEL <br />F(14142*1 <br />I <br />N <br />PIPING CONDITi0N­-jj POORs HOLES) <br />C_/ aAL <br />G <br />SOIL TYPE <br />OBSERVATION <br />F <br />I <br />E <br />L <br />EXCAVATION SIZE: YDS OF SOIL: <br />N <br />SOIL TYPE <br />OBSERVATION <br />II <br />SAMPLE # <br />S <br />P <br />E <br />C N <br />T G TRENCH DIMENSION X X <br />I YDS OF SOIL' <br />0 H DEPTH TO G. W.: FT SAMPLING METHOD <br />N 2 <br />0 # OF HOURS SINCE DEWATERING: <br />0 OTHER SAMPLE: <br />LABORATORY: Pltl6AI4�e_ alg= SAMPLERS NAME: <br />CLOSURE IN PLACEJ MIXTURE: VOLUME: <br />EH 23043 (10/89) <br />DRAW SITE MAP ON REVERSE <br />F1112AMI <br />M -E., <br />