Laserfiche WebLink
(SHACED ARSA TO "'E F:LLED IN FOR THE F:RST `•NK ONLY) <br /> ra�:r�rrm�,�n�€r ' .rurimrr�rarior " �ivm�i�rr�rr�la%ratvtrC��r�rrr.7�rmm�rrv�rrm�rirrrrum ��crr4�.eY�rvrr��rm%rv��%rr'� <br /> { CWNER NAME I OWNER PHCNE <br /> CCNTRACTOR CCN. PHCNE* <br /> R S.iLHD PERM L T PA FIRS PERMIT <br /> .. a , <br /> 1 ��GiG wir ri{iia'!G v Jr r�tG rGvr�r v �G lri r ,f G .rSlr G u�rfG�i b 't6tGiG fr" <br /> Kms; vr+ l., u�uttr, LI r r+l.G 1 ct ucs ttt t.,s_�.; uK= <br /> G i <br /> i NEPECTOa L( DATE( —�•� ' 4 3� TANK 39 <br /> R R i NSE7 Y N) �tETHCQ��}r,c � �J rR:DISE AMOUNT <br /> i <br /> V R LNSA►E DISPOSAL S L T S <br /> 3 <br /> MAN L=ES T —RR— 0 i ER <br /> V VAPORS PURGED (YIN) METHCO ` AMCUNT USED <br /> A <br /> P ' L. E. L. READING AT REMOVAL (MUST 3E C 2-0:) <br /> 0 I—7� oZ I <br /> i <br /> T R COMMENTS <br /> A <br /> v TANK MATER IAL (S T c=L, F I3ERGLAS3, C T HER) TP,NK S I='c 41MD �. <br /> C <br /> 0 TANK CONDiTICN V�C, <br /> O POOR, HCLES) . <br /> N . 2 . <br /> S PZPS MAT--aRIAL. (ST L, FI3ERGL.ASS, OTHER) 4 Fc.1 <br /> P 1 <br /> r PIPING CCNDrT CN (GOOD, POOR, HOLES) <br /> N <br /> G DEPTH SOIL TYPE . OBSERVATION I SAMPLE 0 <br /> I U <br /> T ` K I f ! t <br /> L <br /> 0 EXCAVATION SIZE: X X I YDS OF SOIL: <br /> S <br /> L A DEPTH � SOIL TYPE � OBSERVATICN ! SAMPLE � <br /> N M P I ! <br /> S S P I 1 1 0 <br /> r 1 <br /> P L P <br /> E I I 1 <br /> C N I 1 1 <br /> T G TRENCH D LDIENS i ON X X YDS OF SOIL <br /> r <br /> O H DEPTH TO G. W. : FT I SAMPLING METHOD � <br /> V <br /> O 0 OF HCURS SINCE DEWATERING: <br /> 0 OTHER SAMPLE: <br /> i <br /> LABORATORY: I SAMPLERS NAME: <br /> CLCSURE IN PLACE ( M r XTURS: (• V CLUME: <br /> (.'(vas) DRAW S i i S MAP ON REV=—!:SZ. a <br />