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PHS—EHD — UNDER* —. <br /> JD TANK CLOSURE/ABAND <br /> (SHADED AREA T�' gE FILLED I N FOR THE ON INSPECTION <br /> E FIRST TANK ONLY) <br /> mill <br /> r� <br /> OWNER NAME �i� 9�Ze <br /> E oOWNER PHONE # <br /> N CONTRACTOR <br /> E 37 CON. PHONE# <br /> �Z ';Y <br /> R SJLHD PERMIT # E Ose ZQ Z <br /> A FIRE PERMIT /.2 <br /> L <br /> I NSPECTOR J,/ DATE//—/ / TANK # 39 <br /> R RINSED (VN) METHOD <br /> I I RINSE AMOUNT <br /> N RINSATE DISPOSAL SITE <br /> S <br /> E MANIFEST # —OR— OTHER <br /> V VAPORS PURSEDY N) <br /> A ,METHODAMOUNT USED <br /> P L. E.L. READING AT REMOVAL (MUST BE < 20X) <br /> 0 <br /> T R COMMENTS <br /> A <br /> N TANK MATERIAL STE , FIBERGLASS, OTHER) TANK SIZE <br /> K C <br /> / 0 TANK. CONDITION (GOOD POOR, HOLES) <br /> PIPE MATERIALTEELt FIBERGLASS, OTHER) # FEET <br /> P T <br /> I PIPING CONDITION (GOOD, POOR, HOLES) ^/ <br /> N <br /> S DEPTH SOIL TYPE OBSERVATION <br /> T SAMp�E .. <br /> F A <br /> I N <br /> E K <br /> L <br /> D EXCAVATION SIZE: <br /> S --. — x X 4�TYDS OF SOILs Z ' <br /> I A DEPTH SOIL TYPE OBSERVAT 0 <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 /> mom <br /> 0 H DEPTH TO G. W. : FT SAMPLING METHOD <br /> N g - . <br /> 0 # OF HOURS SINCE DEWATERING: <br /> 0 OTHER SAMPLE: <br /> LABORATORY: <br /> CSG SAMPLERS NAME t r .:.rc ff <br /> CLOSURE IN PLACE MIXT REt <br /> VOLUME: <br /> EH 23043 (10/89) DRAW SITE MAP ON REVERSE ' <br />