Laserfiche WebLink
PHS--EHD UNDERu%._-�D TANK CLOSURE/ABANDONM INSPECTION <br /> >(SHADED AREA�TO-BE ' FILLED =IN FOR THE FIRST [hNK ONLY) <br /> lip r <br /> MIN 51 <br /> Or <br /> OWNER" NAME <br /> E / = OWNER PHONE # <br /> N CONTRACTOR " <br /> E A.y,� `o�. CON. PHONE# <br /> R SJLHD ERMIT #`; - ., - Ep t�°a�f'a,ra� <br /> A " FIRE PERMIT # <br /> L <br /> IlVSPECTQR Oz DATE 7-o;2-90 TANK # .39 <br /> R RINSED N) METHOD <br /> - <br /> I - (� NSU RINSE AMOUNT�p <br /> N . AINSATE DISPOSAL SITE <br /> S �LCaN <br /> E MANIFEST # <br /> -OR- OTHER <br /> V VAPORS PURGED N) <br /> '� METHOD op -z--c AMOUNT USED <br /> G' Lr E. L. BREADING AT REMOVAL (MUST BE ( 20%) f 16 <br /> 0 <br /> I� T R COMMENTS <br /> IC TANK 'MATERI TEEL FIBERGLASS, OTHER) TANK SIZE f <br /> / O TANK CONDITION (GOO � <br /> N OR, LES) <br /> 41 S PIPE MATERIAL FIBERGLAS <br /> P T S, OTHER) # FEET <br /> 1 PIPING CONDITION (GOOD, 4OD HOLES) <br /> 'G DEPTH SOIL TYPE OBSERVATION <br /> T SAMPLE # <br /> N / oy, <br /> E K <br /> S EXCAVATION SIZE: 3Ji- X X �. YDS OF SOIL: 3 <br /> r A DEPTH. i SOIL TYPE OBSERVATION a <br /> M P SAMPLE # <br /> P I <br /> L P <br /> I E <br /> N <br /> G TRENCH DIMENSION <br /> X X YDS OF SOIL <br /> H DEPTH TO G. W, t FT <br /> N 2 SAMPLING METHOD <br /> 0 # OF HOURS SINCE DEWATERING: <br /> 0 OTHER SAMPLE! <br /> LABORATORY: V-f_.v— h � SAMPLERS NAME: <br /> CLOSURE IN PLACE MIXTURE: <br /> VOLUME: <br /> 7043 ( Ip/89) DRAW SITE MAP ON REVERSE <br />