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_ f <br /> �-EHD - UNDER, OU'` TANK CLOSURE/ABANDt7N{ <br /> (SHADED AREA 1•� ILLED IN FOR THE FIRSTiV �1NKT SPECTION <br /> ONLY) <br /> WAMWAWAN <br /> OWNER- NAME <br /> E OWNER PHONE # <br /> N CONTRACTOR <br /> E CON. PHONE# <br /> R SJL.HD PERMIT # SAA # <br /> A' FIRE PERMIT # <br /> L <br /> INSPECTOR C, DATE <br /> 2-h* TANK # 39 - _1/C 2 <br /> R RINSED (Y N) METHOD <br /> I RINSE AMO NT <br /> N RINSATE DISPOSAL SITE <br /> S 5 <br /> E MANIFEST # r <br /> -OR- OTHER <br /> V VAPORS PURGED Y N) ---j METHOD <br /> A AMOUNT USED <br /> P L.E.L. READIi3 AT- - <br /> (MUST BE ( Epx) <br /> 0 <br /> T R CM94FNTS " a <br /> A <br /> N TANK MATERIAL (STEEL, FIBERGLASS, OTHER) TANK SI2 <br /> K c fu�Q <br /> / D TANK CONDITI 6 O POOR, HOLES) <br /> N <br /> S PIPE MATERIAL (STEEL, FIBERGLASS, OTHER) # FEET <br /> I <br /> P T <br /> -� <br /> PIPING CONDITION (GOOD, <br /> N POOR, HOLES) <br /> G DEPTH SOIL TYPEE� <br /> OBSERVATION <br /> T SAMPLE # <br /> F A <br /> I N <br /> E K <br /> L <br /> D EXCAVATION SIZE: <br /> s - - x �. X / <br /> .&--�YDSW SOIL: <br /> I 22 bw- <br /> A DEPTH SOIL. TYPE OBSERVATION Adwr <br /> N M p SAMPLE # <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 /> O H DEPTH TO O,W. s ________ FT <br /> N 2 SAMPLING METHOD <br /> O OF HOURS SINCE DEWATERING: <br /> O OTHER SAMPLE: <br /> LABORATORY A, =SAMPLERS NAME <br /> CLOSURE IN PLACE MI TURES <br /> VOLUME: <br />:H 3043 110/89) DRAW SITE MAP ON REVERSE <br />