Laserfiche WebLink
PUBLIC KE1'rE Sc-2 CES- `74 �ONM_nN r L�HELTH DIVISION <br /> SITE NAME � ADDRESS � A w. T✓/�V� I CIS Lu/J <br /> OWNER NA. Ai-, A4MAs-> I owZr�R PHONE <br /> � <br /> CONTRACTOR ,TFC ( CONT. PHONE # 41!_ 1-33�7 <br /> FIRE PERMIT s =� <br /> REMOVAL--,)( CLOS= LN PLACE TEMPORARY CLOSURE <br /> INSPECTOR h tf �rl7 DA� /� 5� '. NX i 39 i 3�ti <br /> I R RINSED .' y) I H00 I R_IRSZ ?MCUNT V <br /> S <br /> I <br /> N R_INSATE DISPOSAL SITE <br /> S <br /> E MANIFEST fiG/rJ�J 7Sr CR 0MY- - j <br /> V VAPORS PGRGt^J T ) I gaD cj l� /�, AMCw IISr'D' <br /> P READ LNG AT 2.t`SOV2,L I L.E.L. : 6 vjp 02: <br /> O <br /> i <br /> R COMM�'NTS <br /> C I T_xNE N-ATE.FL1L S'TE`T r Fi3zRGLASS, OTHER) <br /> O <br /> N ITAN-X CONDITT_CN (GO _ R, HOLES) I j <br /> S $�-�"'� <br /> T PIPE �Tti-'RLQ ( r :�3zRGLASS, OT=) I T F^= <br /> PIPE CCNDi^T_ON (GCO , _ R HOLES) <br /> I <br /> DEPTH ISO`. T`_"z OBSM-W TION I SAMPLE T <br /> T <br /> 1AC, as��c <br /> j3 I I 1 <br /> SE.YCAVATION SIZE ^jv iY�33� YDS OF SOIL 7jv 7b Ta°L j <br /> A <br /> iM I DEPTH SOS. TYPE I CBSZRVATICN I SA.MELE r- j <br /> P P IALIc CJu!' ry ascot c,®C�zz, I _J ^- <br /> L <br /> N P I I I <br /> G E I I I 1 I <br /> TR_°NCH DIMENSION /&^ X ^ S' K i IYDS OF SOIL <br /> i <br /> DEPTH TO G--W. : FT. ISAMPLING METHOD <br /> 2 P HOURS SLNC DENATER—TNG: j <br /> O <br /> OTHER SAM=: <br /> I <br /> LABORATORY: /=C-L- SA. Lc�RS <br /> I I c=✓;=EG <br /> CLOSURE MT PLACE u �=: � VOLUME. <br /> EF 23-0043 (RL'V 2/23/94) PROVIDE SITE NLLP <br />