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PUBLIC H&TH SERV CES -ENVIRONMENTAL" <br />I_�_ U z Li <br />rr �• <br />r <br />JOWNER PHONE <br />1 <br />CONTRACTOR <br />- •VAL__- CLOSURE IN PLACE <br />r . <br />TEMPORARY•,INSPECTOR <br />KoLul <br />DATE <br />TANK if 39 J�&07 <br />ITE <br />RINSATE DISPOSAL SAW <br />i. <br />• <br />VAPORS PURGED <br />READING AT REM• - • <br />• r i�! <br />TANK MATERIAL <br />OTHER) <br />• <br />• K CONDITION (GOOD, -is' HOLES) <br />PIPE MATERIAL Wirgall FIBERGLASS, <br />OTHER) <br />PIPE CONDITION••r '••` HOLES) <br />y <br />EXCAVATION - �I X, <br />r • • �, <br />♦ <br />I <br />• <br />DEPTH . <br />-,r <br />i <br />HOURS SINCE DEWATERING: <br />i <br />LABORATORY: <br />CLOSURE IN PLACE <br />EH 23-0043 (REV 2/23/94) PROVIDE SITE MAP <br />