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PUBLIC HEALT$JSERVICES-ENVIRONMENTAL HEALTH DIVISION <br /> SITE NAME VO�W C h,, ADDRESS X3/5 All 6[Zb C CITY S C K <br /> OWNER NAME MPtta``-- I OWNER PHONE iao g 7.5 i-J 54 0 0 <br /> CONTRACTOR D� / CONT. PHONE <br /> FIRE PERMIT a <br /> REMOVAL_ CLOSURE IN PLACE TEMPORARY CLOSURE <br /> INSPECTOR { 1 li 5 DATE TANK # 39 <br /> R RINSED (Y I METHOD RINSE AMOUNT <br /> ID 9 a-7ZO,' <br /> N RINSATE DISPOSAL SITE <br /> S <br /> E MANIFEST # OR OTHER <br /> V VAPORS PURGID (Y)N) METHOD GQ, ( AMOUNT USED <br /> A <br /> P READING AT REMOVAL I L.E.L. : 102: <br /> O <br /> R COMMENTS <br /> C TANK MATERIALSTEEL FIBERGLASS, OTHER) <br /> 0 <br /> N TANK CONDITION (GOOD, POOR, HOLES)) ru r2 Glt?�2o c wprv` <br /> S <br /> T PIPE MATERIALS EL, FIBERGLASS, OTHER) FEET S Vlu`c OIL��y �Ip wc� _ <br /> PIPE CONDITION (GOOD, POOR HOLES) y� to )70 <br /> DEPTH SOIL TYPE ( OBSERVATION SAMPLE <br /> T <br /> A <br /> N t <br /> K <br /> r <br /> S EXCAVATION SIZE X X YDS OF SOIL <br /> A <br /> M DEPTH SOIL TYPE OBSERVATION ( SAMPLE <br /> P P <br /> L T- <br /> I P <br /> N E <br /> G <br /> TRENCH DIMENSION X X YDS OF SOIL <br /> DEPTH TO G.W. : FT. SAMPLING METHOD <br /> H <br /> 2 if HOURS SINCE DEWATERING: <br /> 0 <br /> OTHER SAMPLE: <br /> LABORATORY: Com© J SAMPLERS NAME: <br /> CLOSURE IN PLACE I MIXTURE: VOLUME: <br /> EH 23-0043 (REV 2/23/94) PROVIDE SITE MAP <br />