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� O ); L <br /> PHS–EHD – UNDERGF#VD TANK CLOSURE/ABANDONME10INSPECTION <br /> (SHADED AREA TO BE FILLED IN FOR THE FIRST TANK ONLY) <br /> a i' L u ti berc C o 3,' <br /> E OWNER <br /> N CONTR CTOR ^- CON. PHONE# 20 �^ 7 �-3722_ <br /> E F o EL�D��WW6LL p <br /> R SSLHD FERMI # EF'A ooz�3b� FIRE TERM T # M "K 5" 'Tr <br /> A <br /> L <br /> INLAJ <br /> SF' T R DRTE /,3t,Li TANK # 39 ._.._.._.-- <br /> R RINSED /(Y/N) MOOD RINSE AMOUNT <br /> I <br /> N RINSATE DISPOSAL SITE <br /> S <br /> E MANIFEST # — –OR– OTHER <br /> V VAPORS PURGED (Y N) METHOD <br /> F AMOUNT USED <br /> R <br /> U L. E. L. READING AT REMOVAL (MUST E ( '20%) <br /> T R COMMENTS <br /> A <br /> N TANK MATERIAL (STEEL, FIBERGLASS, OTHER) TANK SIZE S' <br /> K C <br /> / 0 TANK CONDITION ((GOOD, ) POOR, HOLES) <br /> N <br /> S PIPE MATERIAL (STE L FIBER LgSS OTHER) # FEET LT(, 7'-V77" <br /> I PIPING CONDITION (GOOD, POOR, HOLES) <br /> N <br /> G DEPTH SOIL. TYPE OBSERVATION S MPLE # <br /> T <br /> F A <br /> I N <br /> E K <br /> L <br /> D EXCAVATION SIZE: X <br /> S C_ X YDS OF SOIL : <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 <br /> 0 # OF HOURS SINCE DEWATERING: <br /> 0 OTHER SAMPLE: <br /> LABORRTORY: 6 /1J_ V1111 -7-rz- L jf SAMPLERS NAME : <br /> CLOSURE IN PLACE MIXTURE: VOLUME: <br /> EH 23043 ( 10/89) DRAW SITE MAP ON REVERSE <br />