Laserfiche WebLink
RHS-EHO UNDERGROUND TANK CLOSURE/ABANDONMENT r 71ECTION <br /> {SHADED AREA TO BE LLED IN FOR THE FIRST TAN 3NLY) <br /> r,�l��,rr 'iyi�r . r, <br /> v� <br /> =ca a ��1 i L_ r i✓ c r�., i �i .rr �rtr s rr�� fill }Gr�rtL .rffl I �.L 1 �f 1,3 Lr.✓Jy1a 3 <br /> cesJr c-rte 2 0 AAo� f a <br /> J OWNER- NAME �r'usk. Cro+�p OWNER PHONE # <br /> V ! CONTRACTOR <br /> ,L/ CON. FHONE# <br /> .sk, rFO..o Ice>J sN , <br /> S.ILHD PERMIT # EPA # R PERMIT <br /> -1 • ,%�; � � � ,r,� /, ,�,, �Cf iL"r���� , , ,r r1,`/ � •,. ,Y, , „ „ rr 1!r'XG���'�!!�.�✓��rt✓�r - <br /> �,rn n ,,.s _ -r=„� �me•x�# .n, %9;6 <br /> INSPECTOR C. yUti,F TANK # C9 - /672 / <br /> R RINSED (Y/N) METHOD RINSE AMOUNT <br /> I <br /> N RINSATE DISPOSAL SITE ' <br /> E MANIFEST # -OR- OTHER <br /> } <br /> z <br /> V VAPORS PURGED {Y/N) METHOD E � <br /> A I AMOUNT USED <br /> P L. E. L. READING AT REMOVAL (MUST BE ( U ) <br /> 1.1 a <br /> R COMMENTS <br /> I <br /> TANK MA•rERIAL (STEEL, FIBERGLASS, OTHER) TANK SIZE _ <br /> 0 TANK CONDITION (GOOD, POOR, HOLES) <br /> N <br /> S F'IF'E MATERIAL (STEEL, FIBERGLASS, OTHER) # FEET <br /> Tp <br /> PIPING CONDITION (GOOD, POOR, HOLES) <br /> DEPTH SOIL TYPE OBSERVATION <br /> T SAMPLE #} <br /> s <br /> A I !�_ C' C CyYCr r] y rscclrsr-. rJN NJ/cA r' /V <br /> N <br /> K --# <br /> f EXCAVATION SIZE: �Z11 X -L!Z- X YDS OF SOIL: <br /> A DEPTH SOIL TYPE OBSERVATION <br /> i m P SAMPLE ## <br /> P I <br /> L P <br /> I E <br /> N <br /> G TRENCH DIMENSION X X YDS OF SOIL _ <br /> H DEPTH ra G. W. : FT SAMPLING METHOD <br /> G # OF HOURS SINCE DEWATERING: <br /> f <br /> 0 I OTHER SAMPLE: <br /> LABORATORY; r 6 SAMPLERS NAME: n�J <br /> CLOSURE IN PLACE MIXTURE: 7—v <br /> OLUftC- <br /> c DRAW S 7 MAP ON REVERSE <br />