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I.. <br />T <br />A <br />N <br />K <br />P <br />I <br />N <br />G <br />F <br />I <br />E <br />L <br />D <br />I <br />N <br />S <br />P <br />E <br />C <br />PHS-EHD - UNDERD TANK CLOSURE/ABANDONM% INSPECTION <br />(SHADED AREA TO FILLED IN FOR THE FIRST TANK ONLY) <br />OWNER NAME <br />CONTRACTOR <br />SJLHD ,PERMIT # <br />OWNER - PHONE # 7d, - -Pl/ 7 <br />CON. PHONE# 416 - �100_3 <br />...... <br />EPA # _f FIRE PERMIT # <br />-F-1 I.. L_ CLUSURE------- <br />INSPECTOR C, DATE TANK # 39 <br />R RINSED &N) METHOD <br />TRINSE AMOUNT <br />N RINSATE DISPOSAL SITE <br />S e-401 <br />E MANIFEST # -OR- OTHEF <br />AV VAPORS PURGED 69N) METHOD <br />P L.E.L. READING AT REMOVAL (MUST BE 20%) <br />0 <br />R COMMENTS <br />TANK MATERIAL(EEL FIBERGLASS, OTHER) <br />C _ , �EL I <br />0 TANK CONDITION (GOOD, R 'HOLES) <br />N <br />S PIPE MATERIAL (ffE:L, GL S OTHER) <br />T <br />PIPING CONDITION (GOOD, POOR HOLES) <br />DEPTH SOIL TYPE OBSERVATION <br />T <br />A <br />N <br />K <br />S <br />P <br />P lir, <br />L P <br />I E <br />N <br />AMOUNT USED A -6r <br />TANK SIZE <br />FEET <br />EXCAVATION SIZE: <br />22- X YDS OF SOIL: <br />DEPTH I SOIL TYPE OBSERVATION <br />TRENCH DIMENSION <br />X X YDS OF SOIL <br />0 H DEPTH TO G.W.: <br />N a FT SAMPLINGr <br />METHOD <br />0 # OF HOURS SINCE DEWATERING: <br />0 OTHER SAMPLE: <br />LABORATORYs <br />a_2L%s ,? - SAMPLERS NAME: <br />CLOSURE IN PLACE MIXTURE: <br />VOLUME: <br />EH 23043 (10/89) DRAW SITE MAP ON REVERSE <br />SAMPLE # <br />,PAIO� <br />Qlmq;j <br />