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PUBLIC A SERVICES-ENVIRONMENTAL HATH DIVISION <br /> SITE NAME.JpMlqR (ADDRESS 4075 E, Xai� I cITYSf D <br /> OWNER NAME -Wy mC2:1�4 OWNER PHONE # (aOgl) */aa - F 76 7 <br /> CONTRACTORS ID KI CONT. PHONE # <br /> FIRE PERMIT # _ <br /> 15 s <br /> REMOVAL74— CLOS= I_4 PLACE TEMPORARY /CLOSURE <br /> INSPECTOR V,l {1 DATE a, TANK # 39 <br /> LS <br /> u._...C-'RINSED (Y N) CD RINSE AMMO <br /> RINSATE DISPOSAL SITE <br /> MANIFEST # OR OTT.irl"2 <br /> V VAPORS PURGED (Y N) IMETHOD ! ( AMC= USED <br /> A <br /> P READING AT 1=40VAL I L.E.L. : 02 : <br /> 0 <br /> R COMMENTS <br /> C TANK MATER= EEL, FIBERGLASS, <br /> O <br /> N TANK CONDITION (GOOD, OOR) HOLES) ( .tic rt.0 mb Ayo si b I e <br /> S <br /> T PIPE MATERIAL (STEEL, FIBERGLASS, OTHER) } FEET <br /> PIPE CONDITION (GOOD, POOR, HOLES) <br /> DEPTH ( SOIL TYPE (OBSERVATION ISAM�pLE 24 <br /> T I Icl� I <br /> N T _ <br /> K I I ` < I <br /> I I o I <br /> S EXCAVATION SIZE X X YDS OF SOIL <br /> A <br /> M DEPTH I SOIL TYPE (OBSERVATION SAMPLE # <br /> P P I I <br /> L I <br /> I P <br /> N E I l <br /> G <br /> TRENCH DIMENSION X X YDS OF SOIL <br /> DEPTH TO G.W. : FT. SAMPLING METHOD <br /> H <br /> 2 # HOURS SINCE Dc-WATERING: <br /> 0 <br /> OTHER SAMPLE: <br /> LL-11 - <br /> LABORATORY: SAMPLES NAME: <br /> CLOSIORE IN PLACE I r:"TSR VOLUME: <br /> EH 23-0043 (REV 2/23/94) PROVIDE SITE MAP <br />