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PHS-EHD - UNDERC 'ND TANK CLOSURE/ABANDONML INSPECTION <br /> (SHADED AREA TO'w5E FILLED IN FOR THE FIRST TANK ONLY) <br /> 95 <br /> - A- �. <br /> E ,? OWNER NAME u _ /1 L OWNER PHONE a0 <br /> E ,� CONTRACTOR me CON. PHONE# <br /> I J ' (8�s 3 7-G SSS <br /> R t SJLHD PERMIT # EFTA # 13��3 <br /> A <br /> FIRE PERMIT # <br /> INSPECTOR DATEG <br /> 7//C/�� TANK # 39 <br /> R RINSED (Y N) METHOD RINSE AMU <br /> N RINSATE DISPOSAL SITE <br /> (il,'Nc <br /> E MANIFEST # _��:?o 7D -OR- OTHER_/ <br /> V VAPORS PURGED CQYA N) METHOD AMOUNT USED <br /> P L. E. L. READING AT REMOVAL (MUST BE < :_UX) <br /> 0 iD_ i3 Zig, <br /> T R COMMENTS <br /> A <br /> N TANK MATERIAL (� �TEEL, FIBERGLASS, OTHER) TANK SIZE <br /> K C d�duci cry! <br /> / O TANK CONDITION (GOOD���`HOLES) <br /> N <br /> j 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 q <br /> I N 4- <br /> EK <br /> L <br /> D EXCAVATION SIZE: 2 X X 3 <br /> S L 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 DIMENSIONX X <br /> I YDS OF SOIL <br /> 0 H DEF STH TO G. W. ; <br /> N FT SAMPLING METHOD <br /> G # OF HOURS SINCE DEWATERING: <br /> O OTHER SAMPLE: <br /> LABORATORY: ',4�� SAMPLERS NAME • t_a 'Z4�_'ec% I% <br /> CLOSURE IN PLACE MIXTURE: VOLUME: <br /> EH 232043 ( 10/89) DRAW SITE MAP ON REVERSE <br />