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J <br /> PHS-EHD - UNDERG�,_,jl�. TANK CLOSURE/ABANDONMEi,,jl SPECTION <br /> (SHADED AREA TO BE FILLED IN FOR THE FIRST TAONLY) <br /> rr ' riirfi r.�i iii"iri�riir ar�T3f�r`it r .a r r rr r r r ii r 'r i .v r <br /> /7o L IA44 < �/� r` <br /> OWNER NAME �yARGR �r OWNER PHONE # <br /> E <br /> N CONTRACTORO��,t°� DLL CON. F'HONE# <br /> E <br /> R SJLHD PERMIT # EPA #opoS•7743 FIRE PERMIT # <br /> A <br /> .L <br /> INSPECTOR yG,Q(�. v ,jJ� . DATE TANK # 3,) - - <br /> R RINSEDN) METHOD r,1� tQ�, RINSE AMOUNT Ei() <br /> I <br /> N RINSATE DISPOSAL SITE <br /> S <br /> E MANIFEST # -OR- OTHER. <br /> V VAPORS PURGED (Y/N) METHOD <br /> AMOUNT USED <br /> A t <br /> P L. E. L. READING AT REMOVAL (MUST BE < 20X) 19 <br /> O <br /> T R COMMENTS <br /> A <br /> N TANK, MATERIAL STEEL FIBERGLASS, OTHER) TANK SIZE lol000 & <br /> K C <br /> / O TANK CONDITION (GOOD, POOR HOLES) <br /> N jl <br /> S PIPE MATERIAL TEE FIBERGLASS, OTHER) # FEET <br /> P T <br /> I PIPING CONDITION (GOOD -rib HOLES) <br /> N <br /> G DEPTH SOIL TYPE OBSERVATION SAMPLE # <br /> l� <br /> T - , ,vu v �o --rr� <br /> I N <br /> E K <br /> it L <br /> D EXCAVATION SIZE: X if X /A YDS OF SOIL: <br /> S <br /> I A DEPTH SOIL TYPE OBSERVATION SAMPLE # <br /> N M P <br /> S P I i <br /> t: <br /> EI P L P t <br /> E I E i <br /> C N <br /> T G TRENCH DIMENSION X X YDS OF SOIL ! <br /> I � <br /> O H DEPTH TO G. W. : G� FT SAMPLING METHOD <br /> N 2 11 <br /> U # OF HOURS SINCE DEWATERING: <br /> OTHER SAMPLE: <br /> LABORATORY: (,(/ lf/ �K SAMPLERS NAME: fmy7Z 1 <br /> CLOSURE IN PLACE MIXTURE: VOLUME% <br /> r`. <br /> EH 23043 ( 10/89) DRAW SITE MAP ON REVERSE <br /> 'h <br />