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PHS-EHD - UNDERGI ..,. D TANK. CLOSURE / ABANDONME _ INSPECTION <br /> ii ( SHADED AREA TO BE FILLED IN FOR THE FIRST TANK ONLY ) <br /> OWNER NAME OWNER PHONE # <br /> E 47 c7Cflc;- 3 /7 —7 <br /> N CONTRACTOR r CON . PHONE# <br /> E /? s 74F <br /> / <br /> AR SJLHD FF16MIT # EPA � � eao"�v � FIRE PERMIT # <br /> S .C�C UL <br /> INSPECTOR /l , � ✓ DATE /y_ � TANK # 39 <br /> R RINSED C/ N ) METHOD 5 " RINSE AMOUNT <br /> I �v k wr >ayo �Cc . Q <br /> N RINSATE DISPOSAL SITE H <br /> S /7 <br /> E MANIFEST # -OR - OTHER <br /> A VAPORS PURGED / N ) METHOD Ll� �y`/ � � RMOUNT USED/ ��s <br /> F' L . E . L . READING AT REMOVAL ( MUST BE < 20 % ) <br /> jj 0 <br /> T R COMMENTS <br /> A <br /> N TANK MATERIAL STEEL' FIBERGLASS , OTHER ) TANK SIZE <br /> K C �� OU UQ <br /> / 0 TANK CONDITION ( GOOD POOR , HOLES ) <br /> N <br /> S F' IF'E MATERIAL ( S-fEELJ FIBERGLASS , OTHER ) # FEET <br /> P T c;) 7 -k ti <br /> I PIPING CONDITION ( GOOD , OOR HOLES ) <br /> N <br /> G DEPTH SOIL TYPE OBSERVATION SAMPLE # <br /> T <br /> F A /lw tlr f i ism ., ca f crV <br /> I N L 5 <br /> E K. <br /> L <br /> D EXCAVATION SIZE : X �20 X /k YDS OF SOIL : <br /> (�- <br /> S r <br /> I A DEPTH SOIL TYPE OBSERVATION , SAMPLE <br /> N M P <br /> S P I n �r sc /v <br /> P L P <br /> E I E < zc C!'o«% <br /> C N <br /> T G TRENCH DIMENSION X oZ X a/ YDS OF SOIL <br /> I <br /> 0 H DEPTH TO G . W . : _ FT SAMPLING METHOD 45 ,5- >t <br /> N - -- <br /> 0 # OF HOURS SINCE DEWATERING : <br /> 0 OTHER SAMPLE : <br /> LABORATORY : <br /> SAMPLERS NAME : Pogo/LL <br /> CLOSURE IN PLACE MIXTURE : VOLUME : <br /> EH 23043 ( 10 / 89 ) DRAW SITE MAP ON REVERSE <br />