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PHS-EHD - UNDERCA! �,) TANK. CLOSURE/ABANDONMc�i NSPECTION � <br /> (SHADED AREA Zfi' FILLED IN FOR THE FIRST TMK ONLY) <br /> WAII.vr�iv����I� .w.w.w ara ruiuiuw.ru avr aura./cv ruru u�r����ra aruraruraiu uiuiaiaiu • iury • aia r ara rru <br /> Tc <br /> OWNER NAME OWNER PHONE # o S_5-4. 7S <br /> N CONTRACTOR CON. PHONE# ' <br /> E <br /> R SJLHD ERMIT # EPA # C,4cor,o&--7893 FIRE PERMIT # <br /> INSPECTOR C,L DATE y�aa� TANK # ?.9 <br /> R RINSED ((25/N) METHODY - RINSE AMOUNT <br /> I <br /> N RINSATE DISPOSAL SITE /?e- PS <br /> S <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%) a <br /> p 3 = O <br /> T R COMMENTS <br /> A <br /> K C TANK MATERIAL 7EE , FIBERGLASS, OTHER) TANK. SIZE <br /> / 0 TANK CONDITION (GOOD, POOR, HOLES) <br /> N <br /> r' S PIPE MATERIA (STEE , FIBERGLASS, OTHER) T# FEET <br /> P T <br /> I PIPING CONDITION (GOOD, POOR, HOLES) <br /> N <br /> G DEPTH SOIL TYPE OBSERVATION SAMPLE # <br /> T, <br /> F A In <br /> I N ` <br /> E K <br /> L v vi , cJ C,4?,7 .S?,4Vc.l c& '5.. <br /> D EXCAVATION S 2E: -4- X RrX yam' YDS OF SOIL: was �� <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 SOIL <br /> I <br /> 0 H DEPTH TO G. W. : FT SAMPLING METHOD <br /> N 2y <br /> 0 # OF HOURS SINCE DEWATERING: <br /> aOTHER SAMPLE: <br /> LABORATORY: SAMPLERS NAME: S1--e- <br /> CLOSURE IN PLACE MIXTURE. VOLUME: <br /> i ! <br /> A 23043 ( 14/89) DRAW SITE MAP ON REVERSE j <br />