Laserfiche WebLink
PUBLIC HE ;_. ; SZ VICES-E17V-RONMENTAL a'-�'TH D=SIGN <br /> V1/ <br /> SITE NAIL y e IADDRESS3 ( 47 <br /> OWNER NAME Il OWNS PHONE. A <br /> ( CONTRACTOR ( (CONT. PHONE # <br /> FIR: PERMIT ;r 1 I <br /> REMOVAL C-OSVRE IN PLACE TEMPORARY CLOSURE <br /> INSPECTOR DATE Y=�- �� TANK r 39 <br /> R RINSED (YIN) 2�THOD RSE OUNT <br /> I <br /> N RINSATE DISPOSAL SITE <br /> S <br /> E MAIT-IFEST r OR OTS <br /> V VAPORS PURGED (YIN) (METHOD I (AMOUNT USED360 'bS <br /> A <br /> P READING AT REMOVAL L.E.L. : 102 : <br /> 0 <br /> R COMIuniTS Fire, (9, <br /> I'�i2cl h PNN¢l� <br /> C TANK MATERIAL (STEEL, FIBERGLASS, OTHER) <br /> 0 <br /> N TANK CONDITION (GOOD, POOR, HOLES) 1- u'S `F �e c <br /> S <br /> T PIPE MATERIAL (STEEL, FIBERGLASS, OTHER) lr FEET <br /> PIPE CONDITION (GOOD, POOR, HOLES) <br /> DEPTH ISO= TYPE ( OBSERVATION ( SAMPLE r <br /> T I I I ! <br /> A I <br /> N w� I <br /> K I I I I <br /> I I I I <br /> S EXCAVATION SIZE X X YDS OF SOIL <br /> A 11 — <br /> M DEPTH I SOIL TYPE ( OBSERVATION SAMPLE # <br /> P P I I <br /> L I <br /> I P I I I <br /> N E I I <br /> G <br /> TRENCH DIMENSION X X ( YDS OF SOIL <br /> DEPTH TO G.W. : FT. ( SAMPLING Y-"THOD <br /> H � <br /> 2 HOURS SIN=- DEWATERING: <br /> 0 <br /> OTHER SAMPLE: <br /> LABORATORY: S2_MDLZRS NAM j <br /> CLOSURE I,Y PLACE w" r: I VOL-um--: <br /> EH 23-0043 (REV 2/23/94) PROV=DE SITE MAP <br />