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Sr ( PIIBLIC =,A.L77 SZRV_CES-MON16=4 -1L =TH DIVISION <br /> SITE N � v A-DDRESS 16tg, �p; cITY t '1 Oi° <br /> OWNS NA�`l.' I Ow-N-p"2Z PHONE T i <br /> CoNTRACTOR Uma N b%w CONT. PHONE <br /> FIRE PST <br /> R��sovAL LZ YY PLACE TMIPORARY �OSURE j <br /> �ISPE'CTOR1?/� DATE !{ f Z<I1n Z�NK # 39 £X ��Z <br /> R R.-LASED � ) ITsoD �� ll�S ` R-�rSE AMOUNT �p <br /> N R_TNSATE DISPOSAL SITE <br /> r i P�A1�I: OR O_T' c'R I (,Yn �� Z�'Y 4 <br /> V i VAPORS PURGED (Y/NM �'�TEOD �AMOUNT US= 36 L B <br /> P READ=-TG AT RL'4oVII. I L.S.L. : 02 : <br /> 0 <br /> R I COMMENTS <br /> C TxNX NaTEIMIL (STz_ , ZRGLASS, <br /> i <br /> 0 <br /> T ! 'r 1.N{ CONDI=ON (GoGID, _OOR OLLS <br /> 21 (STEEL, ^I3. ERGI SS, OT S) <br /> 1 <br /> I PIPE COND.I:'T_':ON (GOOD, POOR, HOLES) j <br /> j <br /> DEPT] SOm TYPE OBS�V3TION SAi�T•� T <br /> o or WLR 'st <br /> N <br /> I I I <br /> 1 F <br /> i <br /> S =C_XV'-l=ON SIZE ti l �i 1 I'rDS OF sail, <br /> A <br /> ! K I D TR SOS. TY°E OBSZRVATION I SALE T j <br /> I <br /> G I T4`'�7CH DIxEysION 14' X I X YDS OF SOIL 7 <br /> I DEP' TO G-W. : FT. SAMPLING METHOD <br /> a i <br /> 2 r HOURS SLVC= DE�'�-TNG: <br /> I <br /> i 0 <br /> oT= SAMPLE: <br /> LABORATORY: I� O '��- I SAB+pLe"RS NAM:..:iLt <br /> CT OS7RE IN PEACE I NEflr RE: I VOLZME: <br /> Ea 23-0043 (REV 2/23/94) PROVIDE SITE MAP <br />