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PHS-EHD - UNDERI 'ND TANK CLOSURE/ABANDONMt-%. , INSPECTION <br /> (SHADED AREA Td-tE FILLED IN FOR THE FIRST TANK ONLY) <br /> E OWNER NAME OWNER PHONE # <br /> N CONTRACTOR C \ CON. PHONE# <br /> E <br /> R SJLHD PERMIT # EPA # FIRE PERMIT ## <br /> A . <br /> r <br /> J <br /> INSPECTOR DATES/3 TANK # 39 - '7" _ <br /> R RINSED Y N) METHOD RINSE AMOLN <br /> I <br /> N RINSATE DISPOSAL SITE <br /> S <br /> E MANIFEST # -OR- OTHER <br /> V VAPORS PURGED (Y/ ) METHOD <br /> A AMOUNT USED S <br /> P -READING AT REMOV L (MUS t RE < 20%) /'QLDF-.4- <br /> O <br /> T R COMMENTS <br /> A <br /> N TANK MATERIAL STEEL FIBERGLASS, OTHER) TANK SIZE <br /> K C <br /> / 0 TANK CONDITION GOOD POOR, HOLES) <br /> N h4l's 13 e ` <br /> S PIPE MATERIAL (STEEL, FIBERGLASS, <br /> P T OTHER) # FEET <br /> I PIPING CONDITION (GOOD, POOR, HOLES) <br /> N <br /> G DEPTH SOIL TYPE OBSERVATION <br /> T SAMPLE # <br /> F A , S <br /> I N <br /> E K <br /> L <br /> D <br /> EXCAVATION SIZE: <br /> S +_4_ X X YDS OF SOIL: <br /> I A DEPTH SOIL TYPE OBSERVATION <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 /> 0 H DEPTH TO G. W. : <br /> N --- FT SAMPLING METHOD <br /> 0 # OF HOURS SINCE DEWATERING: <br /> 0 OTHER SAMPLE: <br /> LABORATORY: SAMPLERS NAME: /Yj,cPae� <br /> CLOSURE IN PLACE MIXTURE: <br /> VOLUME: <br /> EH 23043 (10/89) DRAW SITE MAP ON REVERSE <br />