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RHS—EBD — UNDE�.JUND TANK CLOSURE ABANDON.-:SAT INSPECTION <br /> (SHADED AREA TO BE FILLED IN FOR THE FIRST TANK ONLY) <br /> jv&wffv'vv"'my <br /> E OWNER- NAME OWNE PHONE # <br /> c . <br /> N CONTRACTOR CON. PHONE# <br /> E <br /> R SJLHD PERMIT # EFA # FIRE PERMIT # <br /> A . <br /> L <br /> INSPECTOR DATE , ANK # :9 <br /> R RINSED /'N) METHOD RINSE AMOUNT , <br /> N RINSATE DISPOSAL SITE <br /> S � <br /> E MANIFEST # —OR— OTHER <br /> V VAPORS PURGED Y1 ) METHOD <br /> A FTMZNT USED <br /> P L.E. L. READING AT REMOVAL (MUST BE <br /> 0 <br /> T R COMMENTS <br /> A <br /> N TANK MATERIA (STEEL FIBERGLASS, OTHER) TANK SIZE <br /> K c /'C 'D Gia <br /> D TANK CONDITION (GOOD, 1OOR HDLES) <br /> N �`,��✓� C-n <br /> +' S PIPE MATERIAL (STEEL, FIBERGLASS, THER) # FEE'(' 4. .. <br /> P T <br /> I PIPING CONDITION (0000, FOR, HOLES) 'r . <br /> DEPTH SOIL TYPE OBSERVATIO14 T SAMPLE # <br /> F A lur/CL <br /> I N . <br /> . E K <br /> L Lill <br /> D EXCAVATION SIZE; X X YDS OF SOIL: <br /> S <br /> I A DEPTH SOIL TYPE OBSERVATIO <br /> N M R SAMPLE # <br /> S P I , 44, <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 TO G. W. : '&r., = d FT SAMPLING METHOD <br /> N <br /> 0 # OF HOURS SINCE DEWATERING: <br /> 0 OTHER SAMPLE: <br /> LABORATORY: B `y . ;�� SAMPLERS NAME.- <br /> CLOSURE <br /> AME:CLOSURE IN PLACE MIXTURE: VOLUME: <br /> EH 23"043 (10189) DRAW SITE MAP ON R VERSE <br />