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PHS—EHD — UNDER JJND TANK CLOSURE/ABANDONPV,4d, INSPECTION <br /> (SHADED AREA IBE FILLED IN FOR THE FIRST TANK ONLY) <br /> E OWNER NAME OWNER PHONE # <br /> N CONTRACTOR CON. PHONE# <br /> E <br /> R SJLHD PERMIT # EPA # FIRE PERMIT # <br /> A <br /> L <br /> INSPECTOR _[_DATE jolaqho j TANK # 39 — 1 X2 A <br /> R RINSED (Y& METHOD <br /> I RINSE AMOUNT <br /> N RINSATE DISPOSAL SITE <br /> S <br /> E MANIFEST —OR— OTHER 6'Pp4saw yg�9 <br /> AV VAPORS PURGED (YON) METHOD _r,-—] AMOUNT USED 2ov/ <br /> P L.E. L. READING AT REMOVAL (MUST BE ( 20X) <br /> O <br /> AT R COMMENTS . / Ox <br /> y9p <br /> N TANK MATERIAL STEEL FIBERGLASS, OTHER) TANK SIZE <br /> K C <br /> / 0 TANK CONDiT20 <br /> N (GOOD POOR, HOLES) <br /> j <br /> x S PIPE MATERIAL TEEL FIBERGLASS, . OTHER) # FEET <br /> P T <br /> I PIPING CONDITION (GO <br /> N OD, POOR, HOLES) <br /> G DEPTH SOIL TYPE OBSERVATION <br /> T SAMPLE # <br /> F <br /> N o <br /> , <br /> I <br /> love <br /> • <br /> Al <br /> EXCAVATION 1 <br /> IZE: �� X " X YDS OF SOIL: <br /> S <br /> I A DEPTH SOIL TYPE OBSERVATION <br /> N M P SAMPLE # <br /> S P I t2a ohlo nia ,sco/oru )eN <br /> P L P . » <br /> E I E <br /> C N <br /> T G TRENCH DIMENSION X X <br /> I YDS OF SOIL <br /> O H DEPTH TO G. W. : FT <br /> N g SAMPLING METHOD <br /> 0 # OF HOURS SINCE DEWATERING: <br /> 0 OTHER SAMPLE: <br /> LA80RATORY s keAwe4il"Ac SAMPLERS NAME: <br /> a:N''N <br /> CLOSURE IN PLACE MIXTURE: Russe% <br /> .VOLUME: <br /> =H 23043 (10/89) DRAW SITE MAP ON REVERSE <br />