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PHS-EHD - UNDER, )UND TANK CLOSURE/ABANDONr,T INSPECTION <br /> (SHADED AREA Im-BE FILLED IN FOR THE FIRST TANK ONLY) <br /> "./ OWNER NAMEOWNER PHONE # <br /> E �C- /�CGGr� <br /> N CONTRACTOR CON. PHONE# <br /> R SJLHD PERMIT # ' <br /> EFTA # FIRE PERMIT # ✓ <br /> - J <br /> INSPECTOR Lis '. DATE -7 C/QD TANK. # :.9 7 7oZ _ Q <br /> R RINSED (YEN) METHOD.�h� <br /> I / R I NSE AM"UUNTi- r- <br /> N RINSATE DISPOSAL SITE <br /> S <br /> E MANIFEST # -OR- OTHER _ <br /> V VAPORS PURGED <-YJN) METHOD ` <br /> A ��� C E� AMOUNT USED <br /> F' L. E. L. READING AT REMOVAL (MUST RE ( <br /> 0 <br /> T R COMMENTS <br /> A <br /> N TANK MATERIAL STEEL, FIBERGLASS, OTHER) <br /> K C TANK SIZE <br /> E, , <br /> OC�d <br /> / O TANK CONDITION (GOOD` F�-O FZ, HOLES) u <br /> N <br /> S PIPE MATERIAL (STEEL, FIBERGLASS, OTHER) # FEET <br /> P T <br /> I PIPING CONDITION (GOOD, POOR, HOLES) <br /> N <br /> G DEPTH SOIL TYPE OBSERVATION <br /> T SAMPLE # <br /> F A <br /> I N <br /> E K <br /> i� <br /> L <br /> D X EXCAVATION SIZE: -�� <br /> S - _ X /3 YDS OF SOIL: <br /> I A DEPTH SOIL TYPE OBSERVATION <br /> N M P SAMPLE # <br /> S P I <br /> P L P <br /> E I E <br /> C N <br /> T G TRENCH DIMENSION X <br /> I X YDS OF SOIL <br /> O H DEPTH TO G. W. ; <br /> N FT SAMPLING METHOD <br /> C► # OF HOURS SINCE DEWATERING: <br /> 0 OTHER SAMPLE : <br /> LABORATORY: SAMPLEF?4p NAME: <br /> CLOSURE IN PLACE MIXTURE: <br /> VOLUME: <br /> H 3043 ( 10/89) DRAW SITE MAP ON REVERSE <br />