Laserfiche WebLink
PHS—EHD — UNDER .D TANK CLOSURE/ABAN <br /> (SHADED AREA BE FILLED IN FOR THE FIRST <br /> , INSPECTION <br /> Jill <br /> TANK ONLY) <br /> ZM�kI Tv <br /> E OWNER- NAME <br /> OWNER PHONE # <br /> N CONTRACTOR <br /> E fo C CON. PHONE# Q <br /> R BJLHDPERMIT # <br /> A• EP <br /> A :M FIRE PERMfT #/29 <br /> L Y3,Cas._ :. . <br /> INSPECTOR DATE I/./o 4 TANK # 39 <br /> R RINSED tY > METHOD <br /> I /RIRINSE AMOUNT <br /> N RINSATE DISPOSAL SITE P <br /> S T47pr <br /> E MANIFEST # <br /> OR- OTHER <br /> V VAPORS PURGED (Y/N) METHOD <br /> A AMOUNT USED <br /> P L. E. L. READING AT REMOVAL (MUST BE E 20%) <br /> T R COMMENTS <br /> A <br /> N TANK MATERIAL STEEL FIBERGLASS, OTHER) TANK SIZE <br /> K C <br /> / Do - <br /> 0 TAW. CONDITION GOOD POOR, HOLES) �C Bjt aS <br /> N <br /> S RIPE MATERIAL (STEE IBERGLASS, OTHER) # FEET <br /> P T <br /> I RLPING CONDITION QGOOD9 OOR, HOLES) <br /> N <br /> G DEPTH SOIL TYPE OBSERVATION <br /> T SAMPLE # <br /> F A Gw c <br /> I N d <br /> E K <br /> L <br /> D EXCAVATION SIZE: <br /> S X X 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 rDEPTH <br /> NCH DIMENSION <br /> �. X � X <br /> I YDS OF SOIL <br /> 0 H TO G. W. s � FT SAMPLING METHOD <br /> N 2 <br /> 0F HOURS SINCE DEWATERING: <br /> 0ER SAMPLE: <br /> LABORATORY: SAMPLERS NAME s`'M#"reoN <br /> CLOSURE IN PLACE MIXTURE: <br /> EH 23043 (10/89) DRAW SITE MAP ON REVERSE , F <br />