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PHS-EHD - UNDERGFvmcJND TANK CLOSURE/ABANDONMETR INSP-ECI"ION <br /> (SHADED AREA TO BE FILLED IN FOR THE FIRST TANK ONLY) <br /> eTj T <br /> r "7ti7ir�u r rr u r <br /> � , <br /> OWNER ME If <br /> OWNER PHONE <br /> E <br /> ECONTRACTOR 7—e /9,� `Sf^`c trHONE# o _/ ue 2f6� ADon <br /> R SJLHD PERMIT # EPA # JPERMIT # � — Q j��AWillLINSPECTOR Ci DATE l� ,2V C9R RINSED (Y N) METHO I� � — RINSE AMO T� <br /> N RINSATE DISPOSAL SITE <br /> S <br /> E MANIFEST # —OR— OTHER <br /> VVAPORS PURGED (Y/ ) METHODj. AMOUNT USED <br /> R <br /> P L. E. L. READING AT REMOVAL (MUST BE ( 20X1 <br /> 0 <br /> T R COMMENTS <br /> R <br /> N TANK MATERIA STEEL, FIBERGLASS, OTHER) TANK SIZE <br /> K C <br /> / 0 TANK CONDITION (GOOD, POOR, HOLES) r'(,(. t1 <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 SAMPLE # <br /> T <br /> F A <br /> I N <br /> E K S <br /> L <br /> D EXCAVATION SIZE: X Z X 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 /> C) # OF HOURS SINCE DEWATERING: <br /> 0 OTHER SAMPLE: <br /> LABORATORY: 'a SAMPLERS NAME: <br /> s <br /> CLOSURE IN PLACE MIXTURE: VOLUME: <br /> EH 23043 ( 17/89) RAW SITE MAP ON REVERSE <br />