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C <br /> PHS-EHD - UNDERGROUND TANK CLOSURE/ABANDONMENT INSPECTION <br /> (SHADED AREA TO BE FILLED IN FOR THE FIRST TANK ONLY) <br /> fyar�Ju H� �ruiu y/l/ ruisi.G iu m5 rare uiarauriuuriaiuiuiurai'�rfr Jiruiai tartar uiuuriuur <br /> rOWR NAME r OWNER PHONE # _�y� <br /> E <br /> N CONTRACTOR CON. PHONE# � j:/3 <br /> R SJLHD PERMIT # EFA #( ACCO��njM, FIRE PERMIT # ` Gp <br /> A �L / <br /> INSPECTOR - C. UN DATE,�,13-g/ TANK # <br /> R RINSED (Y/ <br /> I > METHOD RINSE A OUNT 0� <br /> t / fru;CPS X77 Cr7 r G4 Oc�Lt fo s <br /> N RINSATE DISPOSAL SITE <br /> S <br /> E MANIFEST # -OR- OTHER <br /> V VAPORS PURGED7(YN) METHOD ro AMOUNT USED 6, <br /> A <br /> P L. E. L. READING AT REMOVAL (MUST BE < 20X) 5 <br /> 0 <br /> T R COMMENTS <br /> A <br /> N TANK. MATERIAL (STEEL, FIBERGLASS, OTHER) TANK SIZE ��ooej- <br /> K <br /> C <br /> / 0 TANK. CONDITIO (GOOD, POOR, HOLES) <br /> N <br /> S F'IF'E MATERIAL (STEEL, F IBERGLASS, OTHER) # FEET <br /> P T <br /> I PIPING CONDITION (GOOD, POOR, HOLES) <br /> N <br /> G DEPTH SOIL TYPE OBSERVATION SAMPLE # <br /> ^)o <br /> I N r <br /> E K <br /> L <br /> D EXCAVATION SIZE: 20 X X 9, YDS OF SOIL: <br /> S <br /> I A DEPTH SOIL TYPE OBSERVATION SAMPLE # <br /> N M P <br /> S P I <br /> P L P <br /> E I E <br /> C N <br /> T G TRENCH DIMENSION X X YDS OF SOIL <br /> I <br /> 0 H DEPTH TO G. W. : FT SAMPLING METHOD <br /> N 2 <br /> 0 # OF HOURS SINCE DEWATERING: <br /> I 0 1 OTHER SAMPLE: <br /> LABORATORY: SAMPLERS NAME: .o <br /> CLOSURE IN PLACE MIXTURE: VOLUME: <br /> ==-=[: I I <br /> 2-304.3 ( 10/89) DRAW SITE MAP ON REVERSE <br />