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PHS-EHD - UNDE OUND TANK CLOSURE/ABANDOI, T INSPECTION <br /> (SHADED AREA BE FILLED IN FOR THE FIRai TANK ONLY) <br /> E OWNER NAME OWNER PHONE # <br /> N CONTRACTOR <br /> E 0)lx� XCQN4, j CON. PHONE# <br /> R SJLHD PERMIT # EPA <br /> A FIRE HERMIT <br /> J <br /> INSPECTOR I.{ '�'!� DATE <br /> R RINSED (Y N> METHOD - ~. <br /> I R I NSE A U 11 <br /> N RINSATE DISPOSAL SITE __vv <br /> S <br /> E MANIFEST # -OR- OTHER <br /> V VAPORS PURGED (Y/N) METHOD <br /> A AMOUNT USED lao <br /> P L.E. L. READING AT REMOVAL (MUST BLY ( 2:0%) <br /> 0' <br /> T R COMMENTS <br /> A . <br /> N TANK MATERIAL (STEEL, FIBERGLASS, OTHER) TANK <br /> K C SIZE 0 <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 . <br /> E K <br /> L <br /> D EXCAVATION SIZE: <br /> .S X X 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 XX <br /> I YDS OF SOIL <br /> 0 H DEPTH TO G. W. : FT SAMPLING METHOD <br /> N 2 - <br /> G # OF HOURS SINCE DEWATERING: <br /> O OTHER SAMPLE: <br /> LABORATORY: SAMPLERS NAME: <br /> CLOSURE IN PLACE MIXTURE: <br /> VOLUME: <br /> EH 23043 ( 10/89) DRAW SITE MAP ON REVERSE <br />