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PHS-EHD - UNDERGV....JND TANK CLOSURE/ABANDONME, . INSPECTION <br /> (SHADED AREA TO BE FILLED IN FOR THE FIRST TANK ONLY) <br /> r--�iY�yarY�X!/�ilr.Y�. .�%�.Y�i��Y�U,,�'�iYf/,,Y�Y�9a�Y'!.�Li?�'�i�i,�/,Y�.�tD,�/a�;,lira .7�,�iJ'(/ isvXYx/�,YIr.X��f/�Y4,�Y�iX'/�✓f��r,Y�iyY�,,� <br /> uruiuiurur�eLr�rlurfurruwwrvww uruwiu <br /> L. O <br /> OWNER NAME `� Gv� OWNER PHONE <br /> E ''/ <br /> N CONTRACTOR CON. PHONE#(Z,,,, <br /> E 1 �Y <br /> R SJLHD PERMIT # EPR # FIRE PERMIT # <br /> iiZ <br /> L sl r/ ,rC7V � �E � i i r r i / r G /r r/ rG r rN <br /> INSPECTOR'j DATE ���a TANK # 39 <br /> R I RINSED (YYN) METHOD �UF vs� RINSE AMOUNT O <br /> (J� <br /> I <br /> N RINSATE DISPOSAL SITE <br /> S <br /> E MANIFEST # -OR- OTHER <br /> i <br /> V VAPORS PURGED �Y/N) METHOD Y AMOUNT USED <br /> A <br /> P L. E. L. READING AT REMOVAL (MUST BE ( 20X) _ o <br /> 0 U <br /> T R COMMENTS <br /> A <br /> N TANK MATERIA (ST , FIBERGLASS, OTHER) TANK SIZE <br /> K C <br /> 0 TANK CONDITION (GOOD,dawl HOLES) <br /> N <br /> S PIPE MATERIAL (STEEL, FIBERGLASS, OTHER) # FEETA/G <br /> P T 12r <br /> I I PIPING CONDITION (GOOD, POOR, HOLES) <br /> N <br /> G DEPTH SOIL TYPE OBSERVATION I SAMPLE # <br /> T <br /> F A <br /> I N <br /> E K <br /> L <br /> D EXCAVATION SIZE: X X YDS OF SOIL: <br /> S <br /> I 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 I H DEPTH TO G. W. : FT SAMPLING METHOD <br /> N 2 <br /> 0 # OF HOURS SINCE DEWATERING: <br /> _JOTHER SAMPLE: <br /> ���LRRORATORYC/6.,w,.�r1` SAMPLERS NAME :111 �tLHi'I oN 5 <br /> CLOSURE IN PLACE MIXTURE: ( VOLUME: <br /> EH 23043 ( 10/89) DRAW SITE MAP ON REVERSE <br />