Laserfiche WebLink
r <br /> AHS--EHD -- UNDERGRU"TANK CLOSURE/ABANDONMEN.�. PECTION <br /> AREA(SHADED ARTO B ILLED IN FOR THE FIRST TA ONLY) <br /> `f ' j {�( urrrrrairrrrr Biu"7uivc ai �ir � �'�r'� ri ir.v rr it ' r' if 'r rrai it a <br /> OWNER NAME OWNER PHONE # <br /> "E <br /> N CONTRACTOR CON. PHONE# <br /> E <br /> R SJLHD PERMIT # EPA # FIRE PERMIT # <br /> L <br /> INSPECTOR DATE y /7 TANK # 39 <br /> R RINSED (Y/N) METHOD .�� � � r�� RINSE AMOUNT <br /> I r <br /> N RINSATE DISPOSAL SITE <br /> S <br /> E MANIFEST # —OR— OTHER <br /> V VAPORS PURGED (Y/N) METHOD pp4. AMOUNT USED <br /> A ____T <br /> F' L. E. L. READING AT REMOVAL (MUST BE < 20%) <br /> T R COMMENTS <br /> A _ <br /> N TANK MATERIA (:ATE , FIBERGLASS, OTHER) TANK SIZE <br /> K C <br /> / 0 TANK. CONDITION (GOOD,- <br /> 'O , HOLES) <br /> N <br /> S F'IF'E MATERI (ST , FIBERGLASS, OTHER) # FEET <br /> P T <br /> I PIPING CONDTTION (GOOD �OOR,) HOLES) <br /> N <br /> 6 DEPTH SOIL TYPE OBSERVATION . . SAMPLE # <br /> T <br /> I N <br /> E K <br /> L <br /> D JEXCAVATION SIZE: X X YDS OF SOIL: <br /> S <br /> I A DEPTH SOIL TYPE OBSERVATION SAMPLE # <br /> N M P <br /> S P I <br /> P L P <br /> E I E <br /> C N <br /> T G TRENCH DIMENSION X X YDS OF SOIL <br /> I <br /> 0jca) <br /> DEPTH TO G. W. : FT SAMPLING METHOD <br /> N # OF HOURS SINCE DEWATERING: <br /> 0 OTHER SAMPLE: <br /> LABORATORY: SAMPLERS NAME: <br /> C�_OSURE IN PLACE MIXTURE: T .VOLUME: <br /> H -230 3 ( 10/89) DRAW SITE MAP ON REVERSE <br /> i <br />