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PHS—EHD — UNDERN '1ND TANK CLOSURE/ABANDONM� <br /> PECT <br /> (SHADED AREA Tiw6E FILLED IN FOR THE FIRST'TANKSONLY)ON <br /> E <br /> N , CONTRACTOR /�� CON. PHONE# <br /> E <br /> AR SJLHD PERMIT # EPA # FIRE PERMIT # <br /> INSPECTOR ( �n DATE TANK # 39 <br /> R RINSEDY N) METHODT C <br /> I C R NSE (-AouN- -f <br /> N RINSATE DISPOSAL SITE <br /> S <br /> E MANIFEST # -OR- OTHER <br /> V VAPORS PURGED (Y,-/N) METHOD <br /> A ��� �- _ AMOUNT USED <br /> P L. E. L. READING AT REMOVAL (MUST BE IJ( <br /> O <br /> T R COMMENTS <br /> A <br /> N TANK MATERIAL (STEEL, FIBERGLASS, OTHER) TANK SIZE <br /> K C <br /> / 0 TANK CONDITION (GOOD, POOR, HOLES) <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 /.� -F c��r�—ti- _ / <br /> E K I l 2c�mac — _ 3 <br /> L ! I <br /> D EXCAVATION SIZE: X X YDS OF SOIL• <br /> S <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 X <br /> I YDS OF SOIL <br /> 0 H DEPTH "f0 G. W. <br /> N —______ FT SAMPLING METHOD <br /> 0 # OF HOURS SINCE DEWATERING: <br /> 0 OTHER SAMPLE: <br /> LABORATORY: SAMPLERS NAME: <br /> CLOSURE IN PLACE MIXTURE: VOLUME : <br /> EH 23043 ( 10/89) DRAW SITE MAP ON REVERSE <br />