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PUBLIC HEF fH SERVICES -ENVIRONMENTAL Hil4LTH DIVISION <br />SITE NAME � 11 pDp 1 S61 <br />ADDRESS 1313 L Uy/W <br />CIT -S 6-n 4O YV <br />OWNER NAMESSp)?I/ IOwxER <br />PHONE # <br />CONTRACTOR K.F. Gah-t�s <br />CONT . PHONE # Rll 7l� _ <br />FIRE PERMIT <br />REMOVAL CLOSURE IN PLACE TEMPORARY CLOSURE <br />INSPECTOR /� �fL/ DATE �..Ay- I Y TANK # 39 O <br />R <br />RINSED (�Y/N) <br />METHOD <br />Riiiii AMOUNT <br />I <br />N <br />RINSATE DISPOSAL SITE <br />S <br />E <br />V <br />MANIFEST # OR OTHER <br />VAPORS PURGED ON) METHODC� AMOUNT USED <br />A <br />P <br />READING AT REMOVAL <br />L.E.L.: <br />02: <br />O <br />R <br />COMMENTS <br />C <br />TANK MATERIALSTEEL FIBERGLASS, OTHER) <br />0 <br />N <br />TANK CONDITION (GOOD, POOR, HOLES) <br />S <br />T <br />PIPE MATERIAL (STEEL, FIBERGLASS, OTHER) <br /># FEET <br />PIPE CONDITION (GOOD, POOR, HOLES) <br />DEPTH SOIL TYPE OBSERVATION SAMPLE # <br />T <br />A <br />N <br />S'" Si' S <br />S <br />K <br />J <br />EXCAVATION SIZE X X <br />YDS OF SOIL <br />A <br />M <br />P <br />L <br />I <br />P <br />I <br />P <br />DEPTH SOIL TYPE OBSERVATION SAMPLE # <br />N <br />G <br />E <br />TRENCH DIMENSION X X <br />YDS OF SOIL <br />DEPTH TO G.W.: FT. <br />SAMPLING METHOD <br />H <br />2 <br /># HOURS SINCE DEWATERING: <br />0 <br />OTHER SAMPLE: <br />LABORATORY: <br />SAMPLERS NAME: <br />CLOSURE IN PLACE <br />MIXTURE: <br />VOLUME: <br />EH 23-0043 (REV 2/23/94) PROVIDE SITE MAP <br />