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PHS-EHD - UNDERAND TANK CLOSURE/ABANDONM!*_ INSPECTION <br /> (SHADE,yD� AREA TO BEFILLED I,yN�/ FOR THE FIRST TTANK ONLY) <br /> �1� �`� r iii rrJri rrru �u�'Zir"�iiui u�cv 7�ir"lu�ir u u f.� iJ,v� � �' i�ir�ir�r riJr�r i��rr���• '�'� �, '�" r� ,� <br /> r arr,�uu rurl r,�irrs <br /> OWNER NAME �.� �' OWNER PHONE # <br /> N CONTRACTOR ` CON. PHONE# <br /> E ( . <br /> R SJLHD PERMIT # EPA # <br /> A FIRE PERMIT <br /> # <br /> LFL <br /> INSPECTOR f 1 t` <br /> L � DATE �Jy 'yl TANK # 39 - /� - _ 03 <br /> R RINSED (Y/N) <br /> METHOD <br /> I RINSE AMOU <br /> N RINSATE DISPOSAL SITE <br /> S <br /> E MANIFEST # -OR- OTHER <br /> V VAPORS PURGED (Y ) METHOD AMOUNT USED <br /> _ <br /> A -C <br /> F' L. E. L. READING AT REMOVAL tMUST BE ( `CSX) !��L`�n r� <br /> 0 <br /> T R COMMENTS <br /> A <br /> N TANK MATERIAL (STEEL, FIBERGLASS, OTHER) TANK SIZE <br /> K C <br /> / 0 TANK CONDITION (GOOD, GR HOLES) f-� C) <br /> N <br /> SPIPE MATERIA S� T� FIBERGLASS, OTHER) # FEET <br /> I PIPING CONDITION (GOOD, R'OOR HOLES) <br /> N <br /> G DEPTH SOIL TYPE OBSERVATION <br /> T SAMPLE # <br /> F <br /> I N ` 50 <br /> E K <br /> D :EXCAVATION SIZE: � X � X ._Z._, YDS OF SOIL: _ <br /> I A DEPTH SOIL TYPE OBSERVATION <br /> N M P SAMPLE <br /> S p I <br /> P L P <br /> E I E <br /> C N , <br /> T G TRENCH DIMENSION X <br /> I YDS OF SOIL <br /> O H DEPTH TO G. W. : <br /> N _ FT SAMPLING METHOD <br /> # OF HOURS SINCE DEWATERING: <br /> U I OTHER SAMPLE: <br /> LABORATORY: �zn _ SAMPLERS NAME:( z <br /> CLOSURE IN PLACE MIXTURE. <br /> VOLUME.; <br /> -H 23043 ( 10/89) <br /> DRAW SITE MAS' ON REVERSE <br />