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PUBLIC HZA, ET SZ VICES-rZNVIRONMENTAL &...LTH DIVISION <br /> SITE NPS YAC. i� _ I ADDRESS37 s lC �f I CITY 'T D C V �)iJ <br /> OWNi R NAME I OWNS PHONE <br /> CONTRACTOR G( I CONT. PHONE <br /> FIRE FERKIT r <br /> R=1' iOVAL CI.ASITR.F: IN PLACE TEMPORARY CLOSURE <br /> TiNSPECTORo,"s f DATE y= � �/� TANK # 39 <br /> R RINSED _/ ) I _m=OD I RT-T-TSE 196U <br /> T <br /> N =- SAT_E DISPOSAL SITE <br /> S <br /> MANIFEST r OR OTHER <br /> V VAPORS PURGED ) IMETHOD (AMOUNT USED �- <br /> A <br /> B READY-NG AT REMOVAL I L.E.L. : 102 : 3 <br /> 0 <br /> R COMM�2I°'S <br /> C TANK MP_TERLALL STE.ZL FIBERGLASS, OTHER) <br /> N TANK CONDITION (GOOD, BOOR, HOLES) <br /> S <br /> T PI-2E mAT_=,A.L STE :_BzRGLASS, OTHrz ) I s EET <br /> PIPE CONDITION (GOOD, OOR,j HOLES) AAA, e- <br /> T <br /> DEPTH I SOTS. TYPE I OBSERVATT-ON SAMPLE T <br /> A <br /> N I <br /> K <br /> S EXCAVATION SIZE X X YDS OF OSO -i. <br /> M DEPTH ISO. TYPE ( OBSERVATION ( SAMPLE T <br /> p P <br /> L I f <br /> I D 44 f3,44 Axi,01:lo I a,42 ac <br /> N E I <br /> G I .5�� <br /> TRENCH DZ=SION X X ( YDS OF SOIL <br /> DEPTH TO G.W. : FT. ( SAMPLING METHOD <br /> H <br /> 2 r HOURS 5I27CE DEWA_TER�TNG: I <br /> 0 <br /> OTHER SAMPLE: <br /> LABORATORY: SAMPLERS NAME: <br /> CLOSURE IN PLACE I hE E: I VOLUME: <br /> H 23-0043 (R-EV 2/23/94) PROVIDE SITE MAP <br />