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4 i <br /> � II fi <br /> PUBLIC F.F H SERVICES-ENVIRONMENTAL RUTH DIVISION <br /> g <br /> SITE NAIL v J' i "ru , ADDRESS .31 Li a . <br /> f rr ? s t ►t'l CITY { <br /> �'�dc:{� <br /> OWNER NAME/ r L�L «aC OWNER PHONE <br /> CONTRACTOR CONT. PHONE # I <br /> FIRE PE=T 7 <br /> CLOSURE IN PLACE IrITEMPORARY CLOSURE I <br /> INSPECTOR DATE &-tf-V eTANK 39 <br /> R RINSED (Y/N) h=OD ij RINSE AMOUNT <br /> I <br /> l S RINSATE DISPOSAL SITE <br />!' E MANIFEST OR OTHER II <br /> V VAPORS PURGED (Y/N) D OUNT USED i <br /> A <br /> P READING AT RI MOVA.L <br /> 0 <br /> R COMMET7Ts <br /> C TANK MAT IAL ( Ty*zM' , FIBERGLASS, OTHER) <br /> O IN TANK CONDITION (GO , POOR, HOLES) F <br /> E S <br /> T PIPE MATERIAL (STEEL, BERGLASS, OTHER) <br /> i FEET �v <br /> i PIPE CONDITION (GOOD, POOR, OLES) <br /> DEPTH ( SOIL TYPE JOBSERVATION i SAMPLE <br /> TI ) r <br /> A ! 4 ! <br /> N <br /> K ! <br /> S EXCAVATION SIZE - X - X - YDS OF SOIL <br /> A <br /> M DEPTH SOIL TYPE OBSERVATION SAMPLE. <br /> R P ! I <br /> L I I <br /> I P I I I <br /> N E <br /> G <br /> TRENCH DIM UTSION X X1 YDS OF SOIL <br /> l DEPTH TO G.W_ : FT. SAMP=G METHOD <br /> H <br /> 2 r HOURS SINCE DEWATERING: <br /> 0 <br /> L—LOTHER sAMPL : S f"0 G 1`� 2. ';j <br /> LABORATORY: SAMPLERS N <br /> CLOSURE IN PLACE I MIXTURE: VOLI3ME: <br /> EH 23--0043 (REV 2/23/94) PROVIDE SITE MAP <br /> k <br />