Laserfiche WebLink
PHS-EHD - UNDERGFWD TANK CLOSURE/ABANDONME0INSPECTION <br /> (SHADED AREA TO BE FILLED IN FOR THE FIRST TANK ONLY) <br /> Ryp�hrr������ t�ra�r�yt�vrJa� <br /> �fym�la�H� iurururuwwrviurrr w��rur��r'(i(y��(��"����l��wwiaiaraiaiuwi liruiuruiurlruuruwraw•, <br /> J l <br /> j� A 72 <br /> OWNER NAME OWNER PHONE # <br /> E CON. PHONE# <br /> N CONTRACTOR <br /> E - 73 <br /> R SJLHD PERMIT # EP'A # FIRE PERMIT # <br /> INSPECTO Lt �✓ DATE10'3U' ll TANK # 39 <br /> RINSE AMOUNT <br /> R RINSED (Y/N) METHOD <br /> I <br /> N RINSATE DISPOSAL SITE <br /> E MANIFEST # -OR- OTHER <br /> V VAPORS PURGED (Y/N) METHOD AMOUNT USED <br /> A <br /> P L. E. L. READING AT REMOVAL (MUST BE ( 20%) <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, POOR, HOLES) <br /> ?i N <br /> S PIPE MATERIAL (STEEL, FIBERGLASS, OTHER # FEET <br /> P T <br /> I PIPING CONDITION (GOOD, POOR, HOLES) <br /> NSAMP'L£ # <br /> G DEPTH SOIL TYPE OBSERVATION <br /> T aj7 J, st <br /> F A -O ( 57- <br /> I <br /> TI N 77 <br /> -O oas 1' <br /> E K <br /> L <br /> D EXCAVATION SIZE: X X 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 <br /> T G TRENCH DIMENSION X X YDS OF OIL <br /> I <br /> 0 H DEPTH TO G. W. : FT SAMPLING METHOD <br /> N 2 <br /> C1 # OF HOURS SINCE DEWATERING: <br /> OTHER SAMPLE: <br /> L—! 1 SAMPLERS NAME: <br /> I <br /> LARORATORY:��, Cll <br /> )tt� Cu.Q ���c�f� � I � <br /> CLOSURE IN PLACE I MIXTURE: VOLUME: <br /> EH 23043 ( 10/89) DRAW SITE MAP ON REVERSE <br />