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PHS-EHD - UNDE � q q � <br /> VD TANK CLOSURE/ABANDO <br /> INSPECTI <br /> '(SHADED AREA ssE FILLED IN FOR THE FIRST TANK ONLY)ON <br /> t. 3-t3 <br /> j E OWNER NAME wo OIL, e, OWNER PHONE # <br /> 2U q �l fl 9 �a <br /> E CONTRACTOR <br /> o `T4M I <br /> CON. PHONE# 11,6 <br /> 1 c <br /> R .SJLHD PERMIT # Ep z -1 I�i N <br /> A. A # FIRE PERMIT # <br /> Lr <br /> t <br /> 714 rpLm <br /> R WO <br /> E In <br /> EIRE <br /> INSPECTOR DATE//-/a- TANK # 39 - � A <br /> s <br /> :.R RINSED ) METHOD <br /> RINSE AMOUNT CGU w / <br /> N RINSATE DISPOSAL SITE G� <br /> S. P ",E tZS (2 ,v f 5� iceS <br /> E _ IMANIFEBT # <br /> -OR- <br /> ------ OTHER <br /> V ,VAPORS PURGED Y ) METHOD �. <br /> A AMOUNT USED �a <br /> P L.E.L. READING AT REMOVAL (MUST BE < 20%) ,G�$ <br /> O <br /> T- R CQMMENTS <br /> N TANK L. S <br /> MATERIATEEL FIBERGLASS, OTHER) TANK SIZE <br /> D <br /> TANK CONDITION t G00 p DD Q <br /> .. . N OORs HOLES) M•-m►t o <br /> 8 PaPE <br /> T_ EEL MATERIAL (STFIBERGLASS, OTHER) # FEET <br /> p <br /> I <br /> N PJPING CONDITION (GOOD, POOR, HOLES) <br /> '. <br /> G DEPTH SOI TYP OBSERVATION <br /> T SAMPLE- # <br /> FA <br /> I N <br /> E KqA- <br /> L ' <br /> D EXCAVATION SIZE: rX X <br /> 8 YDS OF SOILS -4,00 d�3` <br /> I A DEPTH SOIL TYPE OBSERVATION <br /> N M p SAMPLE # <br /> B P44 <br /> P L. p <br /> E I E <br /> C N <br /> T G TRENCH DIMENSION X _._ X YDS OF SOIL <br /> I �D <br /> 0 H DEPTH TO G. W. s FT SAMPLING METHOD <br /> N 2 <br /> Q ? # OF HOURS SINCE DEWATERING: <br /> O ` OTHER SAMPLE: <br /> �. <br /> iAABORATORY: A IZ_l SAMPLERS NAME: <br /> RiS � V <br /> CLOSURE IN PLACE MIXTURE: VOLUME: <br /> EH 23043 (10/89) DRAW SITE MAP ON REVERSE <br />