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PHS-EHD - UNDERGAWD TANK CLOSURE/ABANDONME16 INSPECTION <br /> (SHADED AREA TO BE FILLED IN FOR THE FIRST TANK ONLY) <br /> X/ YSI �Wt7/ (/X!ii/:!2c"Ai �� fY �P�O X��fl /K/Xl/ / �/ �4Y4�7tO i /� 1LYY <br /> y �r�wHi €uruiuurruw�wiuruwr wwwwww urwwi uESPrvruwiuiuwwiumiuruiaruwr r�rr�ruwr ruiuwu <br /> OWNER NAME " OWNER PHONE # <br /> E , <br /> N CONTRACTOR CON. PHONE# <br /> E ` rf� i FIRE PERMIT # <br /> R SJLHD PERMIT # I <br /> � / <br /> Li <br /> INSPECTOR DATE `O -30� ( TANK # 39 - <br /> R RINSED (Y N) METHOD RINSE AMOUNT eoo <br /> I <br /> N RINSATE DISPOSAL SITE +- q+4 <br /> S <br /> E MANIFEST # -OR- OTHER <br /> V VAPORS PURGEDY N) METHOD ; Cfl� AMOUNT USED 60 6-s � <br /> A <br /> P �L. E. L. READING AT REMOVAL (MUST BE <br /> 0 <br /> T R COMMENTS <br /> A <br /> N TANK MATERIAL (STEEL, RG <br /> - ELASS OTHER) TANK SIZE `oZ o01y q_,e <br /> K C <br /> / 0 TANK CONDITION OOD POOR, HOLES) <br /> N <br /> S PIPE MATERIAL (STEEL, IBER(BLASS, OTHER) # FEET <br /> P TI <br /> I PIPING CONDITION (GOOD, POOR, HOLES) -. <br /> NSAMPLE # <br /> G DEPTH SOIL TYPE OBSERVATION <br /> T11 L <br /> F AS <br /> I N r (( <br /> E K l pJ <br /> D EXCAVATION SI E: X X L YDS OF SOIL: . <br /> S <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 - - 7S d <br /> T G TRENCH DIMENSION X X YDS OF SOIL <br /> I <br /> 0 H DEPTH TO G. W. : FT SAMPLING METHOD <br /> N 2 <br /> 0 # OF HOURS SINCE DEWATERING: <br /> OTHER SAMPLE: <br /> L—LIABORATORY: SAMPLERS NAME: T <br /> CLOSURE IN PLACE MIXTURE: ( VOLUME: <br /> EH 23043 ( 10/89) DRAW SITE MAP ON REVERSE <br />