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PHS—EHD <br /> UNDE ID TANK CLOSURE/ABANDON <br /> (SHADED AREA HE FILLED IN FOR THE FIRST TANKSOECTION <br /> NLY) <br /> RM <br /> L E p <br /> NAM <br /> G' G✓es,� c,,r,.c. k.� 9S�o6, <br /> E . <br /> OWNER- r)itOWNER PHONE # <br /> N CONTRACTOR 9� � „/Z <br /> CON. PHONE# <br /> ���✓ 7 �. \ <br /> R SJLHD PCRMIT #A 9. <br /> EPA # FIRE PERMIT -#f�9� <br /> L ' <br /> mill <br /> INSPECTOR/,/,e DATE TANK # 39 <br /> R RINSED 09N) METHOD <br /> I '/ !I NSE AMOUNT <br /> N RINSATE DISPOSAL SITE <br /> S <br /> E MANIFEST # <br /> —OR OTHER <br /> V VAPORS PURGED Y/N) METHOD <br /> A l7�2 -4- AMOUNT USED — <br /> P L.E.L. READING AT REMOVAL (MUST BE < 20%) <br /> 0 <br /> T R COMMENTS <br /> A <br /> N TANK MATERIAL (STEEL) <br /> FIBERGLASS, OTHER) TANK 8IZE �/ <br /> K C <br /> / 0 TAWCONDITION CONDITION f G00D, POOR, HOLES) S/1 <br /> NS RIPE MATERIAL <br /> P (STEEL, FIBERGLASS, OTHER) # FEET <br /> T <br /> I PIPING CONDITIONo POOR, HOLES) <br /> N OUf�2 Y�}i�i�C <br /> (30 <br /> G DEPTH SOIL TYPE OBSERVATION <br /> T . SAMPLE.# <br /> F <br /> I N <br /> E K <br /> L <br /> D EXCAVATION SIZE: X � YDS OF SOIL: <br /> S <br /> I A DEPTH SOIL TYPE OBSERVATION <br /> N M P SAMPLE4 . ., <br /> # <br /> S P I O S-a <br /> E I E <br /> C N <br /> T G TRENCH DIMENSION X X YDS OF SOIL <br /> I <br /> 0 H DEPTH TO G. W. : FT SAMPLING METHOD <br /> N g <br /> 0 # OF HOURS SINCE DEWATERINGs Ali �w� z^_ J <br /> O OTHER SAMPLES <br /> LABORATORYs SAMPLERS NAME: <br /> CLOSURE IN PLACE MIXTURE: VOLUME: <br /> t <br /> EH 23043 (10/89) DRAW SITE MAP ON REVERSE <br />