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PUBLIC HEAL` SERVICES-ENVIRONMENTAL HE2eTH DIVISION <br /> SITE NAM. R - (ADDRESS'qy F CITYS7'D v v <br /> OWNER NAMESMell61 OWNER PHONE t <br /> CONTRACTOR AmenA CONT. PHONE <br /> FIRE PERMIT t <br /> REMOVAL_X_ CLOSURE IN PLACE TE4PORARY CLOSURE <br /> INSPECTOR r g DATE l��a j'q�a TANK # 39 <br /> R R-TNSED (Y/6 I METHOD Ri-NSE O Nf'} <br /> I _ <br /> N RZNSATE DISPOSAL SITE hlhtu�ec� <br /> S <br /> E MANIFEST # OR OTHER <br /> V VAPORS PURGED ON) (METHOD DR ' iCG' oIINT USED <br /> A <br /> DREADING AT REMOVAL I L.E.L. : / pfro 102 : <br /> O <br /> R COMMENTS <br /> LNsoTANK MATE(= (STEEL, FIBERGLASS, OT39MR) <br /> TANKCONDITIO GOOD POOR, HOLES)PIPE MATER.— STEzT IBERGLAS OTHER) I s FEET -3 p p h <br /> PIPE CONDITION (GOOD, OOR HOLES)ftI'A/�JiSc <br /> DEPTH ISO= TYPE IOBSERVATION SAN�LE r <br /> A Iafi'� <br /> N I <br /> K $ - <br /> I I I <br /> S EXCAVATION SIZE % X YDS OF SOIL <br /> A <br /> M DEPTH ISO= TYPE OBSERVATION ( SAMPLE <br /> P P <br /> L I <br /> I D FY <br /> N E <br /> G <br /> TRENCH DZMfENSION X X ( YDS OF SO_L <br /> DEPTH TO G.W. : FT. I SA PLZVG co <br /> 3 I 2 A HOURS SINCE DEWATERING: <br /> 0 <br /> OTMM SAMPLE: S-OC K?; le- <br /> LABORATORY: <br /> eLABORATORY: I SAM_aT_,l--RS NAY--- : <br /> CLOSURE IN PLACE "= 1771 E: VOLuM�': <br /> ER 23-0043 (REV 2/23/94) PROL_DE SITE MAP <br /> SE =4,9 .6 Z-/XC"a f+ aYc, .57-= QCs c t7 c L� <br />