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PUBLIC HEATTH SERVICES-EmvIRONMENTAL HE .LTH DIVISION <br /> SITE NAME (+�tDF fs►txk ADDRESS ( CITYk �l <br /> ' <br /> OWNM NAME Nb-s S-!sjo,�j ,� OWZfElZ PHONE r Gl5-7 -9SLC) <br /> CONTRACTOR 6e,,6n ( CONT. PHONE <br /> FIRE PERMIT <br /> RmIOVAL ✓ CLOSIIRE VY PLACE T-E PORARY CILOSLJRE <br /> INSPECTOR p. 4f-..) DATE JC, TANK P 39 <br /> R R.LVSED (Y/. i S=OD RmTSE AMOUNT i <br /> I <br /> N RINSATE DISPOSAL SITE <br /> Is <br /> MALNI:EST r CR OTHER <br /> V VA-PORS PURGs`D /Y) METHCD ICP, AMOUNT IISED IISS i K <br /> I A <br /> P READING AT RIVAL I L.I.L. : Q 02: ///�,� <br /> ?I i <br /> RCOM_ U&-rS OAY-eA -}L VCMDVe, r� <br /> C i T3LNTK 0--=) <br /> IO <br /> N ! TAN{ CONDITION (GOOD, ?OCR, a0 <br /> T (STEEL, FIBERGLASS, OTM--R) <br /> Ir _ T N/pr I �� <br /> nc aG�D <br /> I - <br /> P23E CONDI'_^T_ON ((;CCD, PCCR, EOLES) <br /> DEPTH ( SOIL TYPE I CBSERVATION I SAMPLE A I <br /> T I I 1 I N/ <br /> I <br /> S ESC�V1^'T_ON SIZE 3 YDS OF SOLI <br /> A <br /> M. DEP-ra I SOID TV--ME I OBSERVATION I SAMPLE r" <br /> D D I I ! <br /> L I 1 I 1 <br /> r P ! I <br /> TRENCB: Dffi'7SICN X I I ?DS OF SO= <br /> DEPTH TO G.A. : FT. I SAbLLL—VG 14=00 <br /> H � <br /> 2 4 HOURS SINCE DEWATTZ-RTNG: <br /> 0 <br /> OTTSE.R SAMPLE: <br /> j LABCRATCRY: Sa.em-T_,-,-as NA2m: <br /> CLOS7RE L`N PTA= VOLUME: <br /> I 7CL'uM <br /> EH 23-0043 (REQ 2/23/94) PROVIDE SITE M&P <br />