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i <br /> PHS -EHD - UNDER . OUND TANK CLOSURE / ABANDONMENT INSPECTION <br /> ( SHADED AREA TO BE FILLED IN FOR THE FIRST TANK ONLY ) <br /> 'Irr I <br /> OWNER NAME OWNER F'HDNE # u <br /> E <br /> N CONTRACTOR <br /> CON . PHONE # <br /> E <br /> R SJLHD PERMIT # EF'A # <br /> A FIRE PERMIT # <br /> INSPECTOR �. OL DATE TANK # 39 <br /> R RINSED ( YISO METHOD <br /> I RINSE AMOUNT <br /> S RINSATE DISPOSAL SITE ne Rcr /e � crS �6z u�vccS u czs/P <br /> E MANIFEST # If <br /> —OR — 0 HER <br /> V VAPORSPURGED % N ) METHOD <br /> R A/y / �P AMOUNT USED jC /hs <br /> P L . E . L . READING AT REMOVAL ( MUST BE ( 20% ) <br /> 0 <br /> T R COMMENTS <br /> A <br /> N TANK MATERIRL STEE FIBERGLASS , OTHER ) TANK SIZE p <br /> K C ' oZS(J fc� ! <br /> / 0 TANK CONDITION ( GOOD , ' OUR HOLE <br /> N S ) <br /> S PIPE MATERIAL ( STEEL , FIBERGLASS , OTHER ) <br /> P T <br /> I PIPING CONDITION ( GOOD , POOR , HOLES ) <br /> N <br /> G DEPTH SOIL TYPE OBSERVATION <br /> T SAMPLE # <br /> Of <br /> F A ,�) two . , <br /> I N ON <br /> E K <br /> L <br /> D S EXCAVATION SIZE : � X Ya.' X YDS OF SOIL : ! 3 <br /> f Q f/cl <br /> I A DEPTH SOIL TYPE OBSERVATION <br /> N M P SAMPLE # <br /> S p I <br /> F' L P <br /> E I E <br /> C N <br /> T G TRENCH DIMENSION XX YDS OF SOIL <br /> I — <br /> 0 H DEPTH 'f0 G . W we FT <br /> N SAMPLING METHOD <br /> 6'rZcss �icL � <br /> 0 # OF HOURS SINCE DEWATERING : <br /> 0 OTHER SAMPLE : <br /> LABORATORY : �' <br /> Lv/ SAMPLERS NAME : <br /> ✓7/'rsr. Lahr 1117a7`f- <br /> CLOSURE IN PLACE MIXTURE : <br /> VOLUME : <br /> EH 23043 ( 10 / 89 ) DRAW SITE MAP ON REVERSE <br />