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SITE NAME k� ADDRESSILJ <br /> CITY t <br /> OWNER XAXEL�, OWNER PHONE <br /> CONTRgCTO CONT. PHONE , <br /> r <br /> E PERMIT #MOVALCLOSURE IN PLACE TEMPORARY CLOSURE <br /> PECTOR DATE 3 �8 9 T # 39 <br /> R RINSED ) MEI'HO �•4• RINSE AMOUNT <br /> I <br /> N RINSATE DISPOSAL SITE <br /> S <br /> E MANIFEST # LTISCU2L0 OR OTHER <br /> V VAPORS PURGED (MN) METHOD ��� 7 <br /> AMODNT USED 2CC> <br /> A <br /> P READING AT REMOVAL L.E.L. 0 a 02: 3 fa <br /> 0 <br /> R ComaliTS . <br /> C TANK MATERIAL (STEEL, FIBERGLASS, OTHER) <br /> 0 <br /> N TANK CONDITION (GOOD, POOR, HOLES) <br /> S <br /> T PIPE MATERIAL (STEED, FIBERGLASS, OTHER) # FEET <br /> PIPE CONDITION (GOOD, POOR, HOLES) <br /> DEPTH SOIL TYPE OBSERVATION SAMPLE # <br /> T <br /> A <br /> N <br /> R <br /> S EXCAVATION SIZE t�X jgJQ X at!- YDS OF SOIL <br /> A <br /> M DEPTH SOIL TYPE OBSERVATION SAMPLE # <br /> P P L144 0-JAILA U-AjAd- S&" JD , <br /> L I <br /> I P <br /> N E <br /> G <br /> TRENCH DIMENSION % % YDS OF SOIL <br /> DEPTH TO G.W. : FT. SAMPLING METHOD <br /> H <br /> 2 # HOURS SINCE DEWATERING: <br /> 0 <br /> OTHER SAM -W: <br /> LABORATORY: SAMPLERS NAM: <br /> CLOSURE IN PLACE MIXTURE: =VOLMCE: <br /> E8 23-0043 (REV 2/23/94) PROVIDE SITE MAP <br />