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PHS-EHD -- UNDERF- NQ---TANK CLOSURE/ SANDONrI t INSPECTION <br /> (SHADED AREA FILLED IN FOR HE FIRST TANK ONLY) <br /> OWNER- NAME OWNER PHONE # <br /> N CONTRACTOR <br /> E d.Icdn� EN CPN. 'HONE# _ 7 Gj� <br /> cgo�s7/1 Y 14 3 , <br /> EF'A # FIRE PERMIT # g6 <br /> INSPECTOR C. rt/uN� DATE 3 2d�q/ T NK # :,9 - ldS <br /> R RINSED (Y N) METHOD <br /> I r` I NSE AMOUNT 3a <br /> S R I NSATE DISPOSAL SITE <br /> �o grnNc� Sf 5cf ;cs <br /> E MANIFEST # /G 56 --OR OTHER <br /> If <br /> V VAPORS PURGED Uy N) METHOD <br /> A ^• �e AMOUNT USED <br /> P L.E.L. READING AT REMOVAL (MUST BE ( 0%) � <br /> 0 j <br /> T R COMMENTS js <br /> A <br /> N .TANK MATERIAL (STEEL FIBERGLASS, 0 HER) TANK SIZE / I� <br /> K C Soo dlr-1 <br /> / O TANK CONDITION (GOOD, POOR, HOLES <br /> N arc 4fi,,60ekk,{ . <br /> i' <br /> S PIPE MATERIAL (STEEL, FIBERGLASS, O HER) # FEET uf� <br /> P T <br /> I PIPING CONDITION (GOOD, POOR, HOLES) <br /> N <br /> G DEPTH SOIL TYPE OBSERVATION <br /> T SAMPLE # <br /> I N . <br /> E K <br /> L <br /> EXCAVATION SIZE: $ X 7 X 2 YDS OF SOIL: <br /> I A DEPTH SOIL TYPE OBSERVATION i <br /> N M P SAMPLE # <br /> S P I <br /> P L P g <br /> E I E <br /> C N <br /> T G TRENCH DIMENSION X X <br /> I YDS OF SOIL <br /> O <br /> H DEPTH TO G. W. : SAMPLING METHOD <br /> N � FT <br /> 0 # OF HOURS SINCE DEWATERING: <br /> i <br /> O OTHER SAMPLE; <br /> P'G/!a� [u P <br /> LABORATORY: �� SAMiM <br /> r� .CQ`3--a3�`35SAMPLERSS NAME:`Ict;t <br /> CLOSURE INPLACE MIXTURE; ✓ �� <br /> VOLUME: <br />;H 23043 ( 10/89) i` <br /> DRAW SITE MAP ON REVERSE <br />