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z PHS—EHD — UNI: ,;.�UND. TANK CLOSURE/ABANbuiq.. T INSPECTION <br /> (SHADED <br /> AREA TOE <br /> B FILLED IN FOR THE FIRST TANK ONLY) <br /> Up <br /> OWNER. NAME E � OWNER PHONE61, <br /> # <br /> N CONTRACTOR , ` - CON. PHONE# <br /> E �� iro Cys �� 7y <br /> R SJLHD PERMIT # EPA # FIRE PERMIT #. <br /> L1. <br /> INSPECTDR 7 DATE �C TANK # <br />` R RINSED (Y/N) METHOD BINS AMUUNT <br /> I <br /> N RINSATE DISPOSAL SITE <br /> S <br /> E MANIFEST # —OR— OTHER <br /> V VAPORS PURGED (Y/N) METHOD <br /> AAMOUNT USED <br /> Jr�? <br /> P L. E. L. READING AT REMOVAL (MUST .BE� ( 2C)%) <br /> _ Q <br /> T R COMMENTS <br /> A <br /> N TANK MATERIAL (STEEL, FIBERGLASS, OTHER) TANK SIZE <br /> K C <br /> / O TANK CONDITION (GOOD, F=LOOR, HOLES) 0. U <br /> N <br /> = S PIPE MATERIAL (STEEL, FIBERGLASS, OTHER) # FEET <br /> P T <br /> I PIPING CONDITION (GOOD, POOR, HOLES) <br /> N <br /> G DEPTH SOIL TYPE OBSERVATION SAMPLE # <br /> T <br /> F A <br /> I N <br /> E K <br /> L <br /> D EXCAVATION SIZE; X X <br /> S YDS OF SOIL: ' <br /> I A DEPTH SOIL TYPE OBSERVATION <br /> N M p -SAMPLE # <br /> S Fo I <br /> p L p <br /> E I E <br />' C N <br /> T G TRENCH DIMENSION X X. VDS OF SOIL <br /> I �� <br /> O H DEPTH TO G. W. : , <br /> N _. F=T SAMPLING METHOD <br /> 0 # OF HOURS SINCE DEWATERING: <br /> O OTHER SAMPLE: <br /> p LABORATORY: SAMPLERS NAME: <br /> CLOSURE IN PLACE MIXTURE: VOLUME: <br /> EH 23043 (10/89) DRAW SITE MAP ON REVERSE <br />