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PHS-EHD - UNDER' 7D TANK CLOSURE/ABANDON -INSPECTION <br /> y (SHADED AREA �OBE FILLED IN FOR THE FIJillRST TANK ONLY) . <br /> Mill 11-1 <br /> e <br /> E OWNER NAME a. OWNER PHONE # <br /> N CONTRACTOR CON. PHONE# <br /> E ? K 116 .- 372 7yY7 <br /> R SJLHD PERMIT # EP # 2° <br /> A• FIRE PERMIT ey�l <br /> L Mill <br /> INSPECTOR DATE/��8 <br /> t•�� TTANK # 39 <br /> R RINSED ( ) METHOD <br /> I LG 2. N Sf RINSE AMOUNT pp <br /> N RINSATE DISPOSAL SITE <br /> S f'• r, , a ► r enu 9s36 <br /> E MANIFEST # -OR- OTHER <br /> V VAPORS PURGED Y N) METHOD Q AMOUNT USED <br /> A /L /D O <br /> P L. E. L. READING AT REMOVAL (MUST BE ( 20%) /S- <br /> 0 <br /> T R COMMENTS <br /> A <br /> N TANK MATERIAL TEE ,FIBERGLASS, OTHER) TANK SIZE <br /> K. C <br /> / s•O TANK CONDITION GOOD POOR, HOLES) iL- <br /> N <br /> 7► S PIPE MATERIAL (STEEL FIBERGLASS, OTHER) # FEET <br /> P T <br /> I PYPING CONDITION (GOOD, POOR, HOLES) <br /> N <br /> G DEPTH SOIL TYPE OBSERVATION <br /> T SAMPLE # <br /> F A - Gu o oolor� <br /> I N /�►wn c <br /> E K <br /> L <br /> D S EXCAVATION SIZE: 2 X Zg 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 TRENCH DIMENSION X X YDS OF SOIL <br /> I <br /> 0 H DEPTH TO G. W. : FT SAMPLING METHOD <br /> N 2 <br /> U # OF HOURS SINCE DEWATERING: <br /> 0 OTHER SAMPLE: <br /> LABORATORY: is <br /> SAMPLERS NAME <br /> �-- hr's 4jeo <br /> CLOSURE IN PLACE MIXTURE: VOLUME: <br /> EH 23043 (10/89) DRAW SITE MAP ON REVERSE <br />