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PHS—EHD — IMIDER _ <br /> 41) TANK CLOSURE/ABANDON D <br /> (SHADED AREABE FILLED I N FOR THE F I RS I NSPECT I ON <br /> TANK ONLY)IE <br /> v <br /> OWNER- NAME <br /> E e ZZ1/G OWNER PHONE # <br /> N CONTRACTOR ZO —9 9 y`�L <br /> EC7S CON. PHONE# <br /> R 8JLHD PERMIT. * <br /> A. # FIRE PERMIT # <br /> L <br /> �• .. ��.� .Ce ".: . <br /> INSPECtOR`✓��i1Q DATE , TANK # 39 <br /> R RINSED N) METHO <br /> I iC.i C 'Ri j SG R I NBE AMOUNT .'A' <br /> N RINSATE DISPOSAL SITE <br /> S <br /> E MANIFEST # <br /> R— OTHER <br /> V VAPORS PURGED UY N) <br /> METHOD - � <br /> A AMOUNT USED <br /> P L. E. L. READING AT REMOVAL (MUST BE < 20%) <br /> 0 <br /> T R COMMENTS <br /> A <br /> N TANK MATERIAL8TEEL� FIBERGLASS, OTHER) TANK SIZE <br /> K C a i1 <br /> / 0 t.ANK. CONDITION GOOD, POOR, HOLES) <br /> N �wTo 9-,. <br /> S PIPE MATERIAL' STEE FIBERGLASS9 OTHER) # FEET <br /> P T - <br /> I P,LPING CONDITION (GOOD POOR, HOLES) <br /> N <br /> G DEPTH BOIL TYPE OBSERVATION <br /> T AMOW "# <br /> F A <br /> I N <br /> E K <br /> L <br /> D EXCAVATION SIZEaX 3/ X <br /> S YDS OF SOILa <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. s FT SAMPLING METHOD <br /> N 2 <br /> 0 # OF HOURS SINCE DEWATERING: <br /> O OTHER SAMPLES <br /> LABORATORY: ys,�Tcy <br /> SAMPLERS NAME s <br /> CLOSURE IN PLACE MIXTURE: <br /> VOLUMES <br /> EH 23043 (10/89) DRAW SITE MAP ON REVERSE <br />