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PHS-EHD - UNDERI ( y ND TANK CLOSURE/ABANDONMO .� INSPECTION <br /> (SHADED AREA TE FILLED IN FOR THE FIRST TANK ONLY) <br /> OWNER NAME OWNER PHONE # <br /> E <br /> N f CONTRACTOR CON. PHONE# <br /> E <br /> R SJLHD PERMIT # EPA # FIRE PERMIT <br /> A <br /> / <br /> L / <br /> 1 INSPECTOR DATE WR ANK # 39 - - aLR . <br /> R RINSEDY MUU <br /> N) METHOD RINSE An! <br /> I ­iG� <br /> 1 N RINSATE DISPOSAL SITE <br /> S <br /> E MANIFEST # -OR- OTHER <br /> V VAPORS PURGED (Y/ ) METHOD AMQUNT USED <br /> A exs� <br /> P L. E. L. READING AT REMOV L (MUS LSE ( 20%) 10t1-5A_ <br /> a <br /> T R COMMENTS <br /> A <br /> N TANK MATERIAL STEEL FIBERGLASS, OTHER) TANK SIZE <br /> K C <br /> / N TANK CONDITION GOOD POOR, HOLES)h�s e O J / O <br /> 1 vi <br /> S PIPE MATERIAL (STEEL, FIBERGLASS, OTHER) # FEE"r <br /> P T <br /> I PIPING CONDITION (GOOD, POOR, HOLES) <br /> N <br /> G DEPTH SOIL TYPE OBSERVATION SAMPLE # <br /> F A i S <br /> I N <br /> E K <br /> D EXCAVATION SIZE: ,� <br /> S �X __ _' X YDS OF SOIL: <br /> I A DEPTH SOIL TYPE OBSERVATIONSAMPLE # <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 SDIL <br /> I <br /> O H DEPTH TO G. W. : FT SAMPLING METHOD <br /> N <br /> G # OF HOURS SINCE DEWATERING: <br /> O OTHER SAMPLE: <br /> LABORATORY: Q,Q{LQL. SAMPLERS NAME: IYf,[B <br /> CLOSURE IN PLACE MIXTURE: VOLUME: <br /> H 23043 ( 10/89) DRAW SITE MAP ON REUERSE <br />