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RHS-EHD - UNDERGi, .VD TANK"CLOSURE/ABANDONMEP"� INSPECTION <br /> (SHADED AREA TU BE FILLED IN FOR -THE FIRST TANK ONLY) <br /> O NE • NAME ./ 3 OWNER PHONE # <br /> E .Aeuya,�^oC 24 'i1�D6 <br /> NE y CONTRACTOR �X �ASS6T� <br /> / g CON. PHONE* <br /> R .l S.7LHD PERMIT # EP�D#98Z11S�JS� FIRE PERMIT <br /> I NSP DATE g' TANK # <br /> R RINSED (Y/ ) METHOD GLtM � „ L RINSE AMOUNT <br />. I "`� <br /> N RINSATE DISPOSAL SITE <br /> S <br /> E MANIFEST # -OR- OSHE <br /> V VAPORS PURGED (Y)N) METHl7D. A11 <br /> OUNT USED <br /> A <br /> P La-E.L. READING AT REMOVAL `(MUST BE < 20%) <br /> O ! G <br /> T R COMMENTS <br /> AI <br /> N TANK MATERIAL (STEGE <br /> K C FIBERGLASS, OTHER) TANK SIZE <br /> / O TANK CONDITION (GOOD, POO HOLE5) <br /> N y <br /> S PIPE MATERIAL (STEEL FIBERGLASS, OTHER) 74t FEET l <br /> P T <br /> I PIPING CONDITION (GOOD, BOOR,_ HOLES <br /> o sa vb <br /> G DEPTH SOIL TYPE OBSERVATION SAMPL # <br /> T <br /> FA <br /> I N <br /> L K <br /> SG✓ % <br /> -�- -72L/ 3 . <br /> D EXCAVATION S ZE: l�X X / YDS OF SOIL: �y <br /> S C/ -7` <br /> I A DEPTH SOIL TYPE OBSERVATION SAMPLE # <br /> N M p <br /> S P I <br /> G L p <br /> E I E <br /> C N <br /> T G TRENCH DIMENSIO <br /> I x x YDS OF SOIL <br /> O H DEPTH 'f0 G. W. <br /> N FT SAMPLING METHOD <br /> G # OF HOURS SINCE DEWATERING: <br /> O OTHER SAMPLE: <br /> .- ea t a <br /> LABORATORY: SAMPLERS NAME: <br /> CLOSURE IN PLACE MIXTURE: VOLUPlL; <br /> SEH 23,043 (10/89) DRAW SITE MAP ON REVERSE <br />