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PHS-EHO - UNDE <br /> NfBE <br /> 4D TANK CLOSURE/ABANDON, J.(SHADED AREA F I LLEO IN FORT "�`�' " INSPECTIONS' <br /> HE FIRST TANK ONLY) <br /> r Ocow Lo 7 <br /> WNER• NAM '° <br /> E Od S Gr�L �G OWNER PHONE # <br /> N CONTRACTOR Q Y / ZZ. <br /> E l Os-1 ?/tel k- CON. PHONE# 7y' <br /> R SJLHD PERMIT #- 00-42,40-1-1 t3 <br /> AFIRE PERMIT <br /> L <br /> INSPECTO 0DATE// /,D �� TANK # 39 <br /> R RINSED N) METHOD <br /> I //✓f R I NSE AMOUNT <br /> N RI NSATE DISPOSAL SITE D d <br /> S <br /> E MANIFEST # <br /> -0R- OTHER <br /> V VAPORS PURGED Y N) METHOD T USED <br /> A Ae ,Z e- AMOUN <br /> P L.E. L. READING AT REMOVAL (MUST a <br /> 0 E < 20%) <br /> T R COMMENTS <br /> A <br /> N TANK MATERIAL ( TEEL, FIBERGLASS, OTHER) TANK SIZE <br /> K C <br /> / 0 TANK, CONDITION (G00 , POOR, HOLES) 1- <br /> Gce,f <br /> N <br /> S PIPE MATERIAL STE , FIBERGLASS, OTHER) # FEET <br /> P T <br /> I PIPING CONDITION (GOOD OOR, HOLES) /t/,!f _.- ,p/ Ok <br /> Nr ; <br /> G DEPTH SOIL TYPE OBSERVATION <br /> T SAMPLE # <br /> F p a <br /> I N <br /> E K <br /> L <br /> D EXCAVATION SIZES X X <br /> S YDS OF SOIL: .' <br /> I A DEPTH SOIL TYPE OBSERVATION, <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 X <br /> I X YDS OF SOIL <br /> 0 H DEPTH TO G. W. : <br /> N FT SAMPLING METHOD <br /> 2 <br /> 0 # OF HOURS SINCE DEWATERING: <br /> 0 OTHER SAMPLE: <br /> LABORATORY: � QTc <br /> W.P�- Q h � SAMPLERS NAME. APS rt <br /> CLOSURE IN PLACE MI TORE: VOLUME: <br /> EH 23043 (10/89) DRAW SITE MAP ON REVERSE <br />