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PHS—EHD — UNDERGROU ❑ TANK CLOSURE / ABANDONMENT SPECT ION. �G / C <br /> � . ( SHADEyyD��// ARyyE��/yA��(r� ' l0 1 . •Jidda ILLEDtoga.IyN�/ FOR yTprryHHE FIRpq yT�gyy�):pyONLpY/) <br /> � ' / i - �rrlv'J :vlv.77r G h���r- 1L" r1��'�0 - :i lLllilrrJn.tYylud ��'"'"'�� 4 <br /> E . � OWNER ' NAME <br /> OWNER PHONE <br /> N CONTR TO in G: L CON . PHONE # /L�/ / <br /> R SJLHD PERMIT # EPA # $9 bS` FIRE PERMIT #w <br /> jj <br /> a on <br /> INSPECTO DATE — laddiddiaS 9 ANK # <br /> R RINSED & N ) METHO <br /> RINSE AMOUNT y <br /> N RINSATE DISPOSAL SITE <br /> S <br /> E MANIFEST # — OR— OTHER <br /> V VAPORS PURGED Y / ) METHOD <br /> A Q� �e. AMOUNT USED ASO L <br /> P L. .E . L. READING AT REMOVAL ( MUST B < AUX ) <br /> ° 2 , 0 Z�f <br /> T R COMMENTS <br /> A <br /> N <br /> K C TANK MATERIAL STEE , FIBERGLASS , OTHER ) TANK SIZE <br /> / 0 <br /> N TANK CONDITION ( GOOD , POOR , OLES ) k6 I145 ' 21 <br /> SW.a ilA <br /> S PIPE MATERIAL TEEL , FIBERGLASS , OTHER ) # FEET S / � <br /> P T <br /> I PIPING CONDITION OD , POOR , HOLES ) <br /> N SS( A�JO � /�e 7 <br /> G DEPTH SOIL TYPE OBSERVATION <br /> I T SAMPLE # <br /> F A 1 <br /> v <br /> I N ,T/ L r ✓ v✓o / � <br /> E K <br /> D EXCAVATION SIZE : 22 �� � <br /> g X ei X L YDS OF SOIL : k Z_ <br /> I A DEPTH SOIL TYPE OBSERVATION <br /> N SAMPLE <br /> ca <br /> M P # <br /> S P I <br /> p L p <br /> E I E <br /> C N <br /> T G TRENCH DIMENSION X X <br /> I YDS OF SOIL <br /> 0 H DEPTH TO G . W . : 'L , /, v <br /> N and � FT SAMPLING METHOD /v <br /> 0 # OF HOURS SINCE DEWATERING : <br /> 0 OTHER SAMPLE : <br /> LABORATORY : n - ' f-- <br /> Uf 0 PrNP L yi SAMPLERS NAME : �2 <br /> CLOSURE IN PLFlCE MIXTURE : <br /> VOLUME : <br /> EH 2l ( 10 / 89 ) DRAW SITE MAP ON REVERSE <br />