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- �� <br /> PHS--EHD -- UNDERttuUND TANK CLOSURE <br /> /ABANDONMENT INSPECTION <br /> (SHADED AREA TO DE FI E <br /> yJp FILLED IN FOR THE F I RST TANK' ONLY) <br /> OWNER NAME Ik <br /> E �J?c;��r�R r7 OWNER PHONE # �. <br /> N , CONTRACTOR <br /> 757 <br /> E 'mC v CON. PHONE# i <br /> RSJLHb ERMIt # -sem t'" <br /> A . ' EPA #^�oo�7� ,y�� FIRE- PERMIT # Ci <br /> INSPECTOR ++ <br /> U 7Z . ' DATE lb TANK # 39 <br /> R RINSED METHOD --: —_-� <br /> I � RINSE AMUUNT <br /> N RINSATE DISPOSAL SITE w <br /> E MANIFEST # j <br /> -OR- OTHER <br /> VAPORS PURGED (qN) METHOD <br /> A AMOUNT USED <br /> P L• E• L. READING A7 REMOVAL (MUST BE <br /> a - <br /> T R COMMENTS <br /> A <br /> N TANK MATERIAL (STEED I� <br /> K C F2GLAS8, THER) TANK <br /> SIZE /Lo, <br /> / O TANK CONDITION (GOOp <br /> N f pppRj HOLES) <br /> � S RIPE MATERIAL }}} <br /> P T r FIPERGLAS5, OTHER) # FEET <br /> I PIPINt <br /> N (GOOr`CONDITION POOR HOLES) <br /> G DEPTH SOIL TYPE <br /> T OBSERVATION <br /> F A <br /> SAMPLE # <br /> � <br /> I N s� " s cd <br /> . L <br /> D EXCAVATION SIZE: <br /> S - X YDS OF SOIL: <br /> A DEPTH SOI <br /> I L TYPE . OBSERVATION <br /> I. lil _ <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 <br /> I X ---.. XYDS OF SOIL <br /> N H DEPTH TO 64w" ." � FT <br /> 2SAMPLING METHOD <br /> O # OF HOURS SINCE DEWATERING: <br /> O OTHER SAMPLEt . <br /> LABORATORY: <br /> SAMPLERa NAME: �' <br /> CLOSURE IN PLACE MIXTUREt <br /> VOLUME.- <br /> 23043 (IO/9r1) DRAW SITE MAP ON REuver_ <br />