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PHS—EHD — UNpERGROI TANK CLOSURE/ABANDONMENT ,NSPECI'ION J(SHADED --- <br /> AREA TO BE FILLED IN FOR THE FIRST TANK ONLY) <br /> E %f <br /> OWNER- NAME A LAN 71G IZiGr �� OWNER PHONE <br /> N ! CONTRACTOR h <br /> E �t,,4,h West- 601(de,9f CON. PHONE# l�; <br /> R ! SJLHD PERMIT # EP #00�7776y l <br /> A <br /> r,( FIRE PERMIT <br /> / Lb �r r J r <br /> - J <br /> I NSPECTO DATE TANK # 39 <br /> R RINSED (Y/N) METHOD <br /> I RINSE AMOUNT <br /> N RINSATE DISPOSAL SITE <br /> S M <br /> E MANIFEST # —OR— OTHER <br /> V VAPORS PURGED (Y)N) <br /> FMETHOD1`ct - <br /> A AMOUNT USED <br /> P L. E. L. READING AT REMOVAL (MUST BE ( 20;c) <br /> T R COMMENTS <br /> A <br /> N TANK MATERIAL (STCEL FIBERGLAS / <br /> K C _� , OTHER) TANK SIZE � U ` ; <br /> / 0 TANK CONDITION (GOOfy, F' OLES) <br /> N _ <br /> • S PIPE MATERIAL (STEEL, ,FIBERGLASS, OTHER) # FEET <br /> P T <br /> I PIPING CONDITION ;'(GOO'D' <br /> N , FLOOR,' HOLES) <br /> G DEPTH SOIL TYPE OBSERVATION <br /> T SAMPLE # <br /> F A <br /> I N . <br /> E K <br /> L <br /> D EXCAVATION SIZE: <br /> S X X YDS OF SOIL: <br /> I A DEPTH SOIL TYPE OBSERVATION <br /> N M P SAMPLE # <br /> S P I <br /> P L P <br /> E I E <br /> C N <br /> T G TRENCH DIMENSION <br /> I X X YDS OF SOIL <br /> ° H DEPTH TO G. W. ; <br /> N FT SAMPLING METHOD <br /> 0 # OF HOURS SINCE DEWATERING: <br /> i 0 OTHER SAMPLE: <br /> LABORATORY: SAMPLERS NAME: <br /> CLOSURE IN PLACE MIXTURE: <br /> VOLUME: <br />-H 23204,3 (10/89) DRAW SITE MAP ON REVERSE <br />