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PUBLIC HEAT--'H SERVICES-ENVIRONMENTAL H' LTH DIVISION <br /> SITE NAME SM�L S-r4�co� ADDRESS gats Wa�cr�on (� � CITY <br /> OWNER NAME S HQL CtL OWNER PHONE # _3(0,714 <br /> CONTRACTOR 6 cI,x' �j�.� CONT. PHONE # <br /> (sib) 433- os3(y <br /> FIRE PERMIT JF?_4'{oo2q-- <br /> REMOVALS CLOSURE IN PLACE TEMPORARY CLOSURE <br /> INSPECTOR S yos���k� DATE TANK # 39U�- <br /> R RINSED (2?N) METHOD RINSE AMOUNT <br /> I <br /> N RINSATE DISPOSAL SITEv�iC <br /> S _ <br /> E MANIFEST # OR OTHER /503_z/ <br /> V VAPORS PURGED YpN) METHOD 30" "'I1cc, toxo ,..1 AMOUNT USED <br /> A 1'0craC44_ aclAc <br /> P READING AT REMOVAL L.E.L. : /U 02 : / •/ <br /> 0 <br /> R COMMENTS <br /> C TANK MATERI (STEEL FIBERGLASS, OTHER) <br /> 0 <br /> N TANK CONDITION (GOOD, o_ , (@4s) <br /> S <br /> T PIPE MATERIAL (STEEL, FIBERGLASS, OTHER) # FEET <br /> PIPE CONDITION (GOOD, 00 , HOLES) <br /> DEPTH SOIL TYPE OBSERVATION SAMPLE <br /> T <br /> A <br /> N <br /> K <br /> S EXCAVATION SIZE X 30 X ZS YDS OF SOIL <br /> A <br /> M DEPTH SOIL TYPE OBSERVATION SAMPLE # <br /> P P <br /> L I �` r <br /> I P <br /> N E <br /> G <br /> TRENCH DIMENSION X X YDS OF SOIL <br /> DEPTH TO G.W. : SQ FT. SAMPLING METHOD <br /> H <br /> 2 # HOURS SINCE DEWATERING: <br /> 0 <br /> LLOTHER SAMPLE: <br /> LABORATORY: SAMPLERS NAME: <br /> CLOSURE IN PLACE MIXTURE: 7 VOLUME: <br /> EH 23-0043 (REV 2/23/94) PROVIDE SITE MAP <br />