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PHS-EHD - UNDERf`-JND TANK CLOSURE / ABANDONM1 INSPECTION <br /> ( SHADED AREA BE FILLED IN FOR THE FIRS TANK ONLY ) <br /> � • OWNER NAME OWNER PHONE # <br /> E <br /> N CONTRACTOR � �� `r f � �osf CON . PHONE # <br /> E <br /> R SJLHD RMIT # EF'A �000 y � FIRE PERMI�T� # /a g 3d <br /> L ' / "OSU /I/ / <br /> ji <br /> INSPECTORSi <br /> DRTE ��Y TANK # 39 -may-- <br /> R RINSED / N ) METHOD II ��� M RINSE AMOUNT y <br /> N RINSATE DISPOSAL SITE f/ � <br /> S ' 14 <br /> E MANIFEST # - OR - OTHER <br /> V VAPORS PURGED �N ) METHOD AMOUNT USED - <br /> A Civ ! ce 0115,5 <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 , OTHE <br /> K C R ) TANY, SIZE <br /> SppOc � <br /> / O TANK CONDITION ( GOOD POOR , HOLES ) <br /> N <br /> S PIPE MATERIAL S "f EEL FIBERGLASS , OTHER ) # FEE"f / Op <br /> P T <br /> I PIPING CONDITION ( GOOD , POOR , HOLES ) <br /> N <br /> G DEPTH SOIL TYPE OBSERVATION <br /> T SAMPLE # <br /> F A <br /> E K v <br /> L <br /> D EXCAVATION SIZE : X 30 X4 YDS OF SOIL : <br /> S — <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 X X YDS OF SOIL 3 <br /> I — — — /U o �( <br /> O H DEPTH TO G . W . : FT SAMPLING METHOD <br /> N2 ----- <br /> 0 # OF HOURS SINCE DEWATERING : <br /> 0 OTHER SAMPLE : <br /> LABORATORY : //IcL _ <br /> / = Se SAMPLERS NAME : �/ <br /> ,a � OP CLOSURE IN IN PLACE MIXTURE : VOLUME : <br /> EH 23043 ( 10 / 89 ) DRAW SITE MAP ON REVERSE <br />