Laserfiche WebLink
PHS—EHD — UNDER "i~'D TANK CLOSURE/ABANDONI* . $IyINS �ECTION <br /> ' (SHADED AREA FILLED IN FOR THE FIRST TANY. ONLY) <br /> r /�1DilfurllPl1(G%YGr3'a��p91/Gr!!/i''4is"Drifu'/��Q.'9, ioilQ/rx!/rYy".}�/! its !/ri '!ry�rYl�f'0.3Y/•3"�lG�'f/iY4• iXv,}Y/i;'/5i"✓.Y�"rX 'tlp, . /i�!/.lprl <br /> iaAl� lJvrurfrnarw�rvurwivuruliarri.�rurrarvw Giraw�vi i ri 1�{�r' �rara aia�a�aiaia�aia�a�via crtw4r;�fara�w.rai�ii�vfvurur".iii <br /> '- <br /> E OWNER NAME OWNER . PHONE # �� <br /> y <br /> N CONTRAC ZR zCON. FHONE# <br /> E / c5�oc�/c�.. .5��-vicC S/ a7, �✓G �/ - �3 � <br /> R SJLHD PERMIT # EPA # 1 FIRE PERMIT # <br /> INSPECTOR � v�� DATE TANK # 39 — / - — OY <br /> R RINSED ( ''N} METHOD -7 <br /> RINSE AMOUNT <br /> N RINSATE DISPOSAL SITE <br /> S iI <br /> E MANIFEST # —OR— OTHER <br /> A VAPORS PURGED ' Y METHOD <�� AMOUNT USED �� <br /> �f f� <br /> P L. E. L. READING AT REMOVAL (MUST BE /1 <br /> < 20%) <br /> TO <br /> T R COMMENTS <br /> A <br /> N TANK MATERIAL (BTEC FIBERGLASS, OTHER) TANK `SIZE <br /> K C S�Or ;rv© <br /> / 0 TANK CONDITION (GOOD, OOR HOLES) v` <br /> N <br /> S PIPE MATERIAL (, FI G ASS, OTHER) f# FEET �. <br /> P T <br /> I PIPING CONDITION (GOOD, P OR, OLES) <br /> N <br /> G <br /> T DEPTH SOIL TYPE OBSERVATION I SAMPLE # <br /> � <br /> I - N <br /> E K <br /> L <br /> D EXCAVATION SIZE: X /S'X YDS OF SOIL: <br /> S <br /> I A DEPTH SOIL TYPE OR , RVATION SAMPLE # <br /> N M P <br /> S P I <br /> P L P / <br /> E <br /> C N <br /> T G TRENCH ENSION X X i <br /> I YDS OF SOIL <br /> N o DEPTH TO G. W. `_�I� FT SAMPLING METHOD g1�s <br /> ��7�'� S S <br /> G # OF HOURS SINCE DEWATERING: <br /> i <br /> 0 OTHER SAMPLE: <br /> i <br /> LABORATORY: <br /> f�L SAMPLERS NAt+IE: ` <br /> �j yr�t H Slrrs <br /> I CLOSURE IN PLACE MIXTURE: VOLUME: i <br />=H 230437 ( 10/89) DRAW SITE .MAG ON REVERSE { <br />