Laserfiche WebLink
PMS-EHD -- UNDER TANN. CLOSURE/APANDONh48i:,ANSPECT ION <br /> (SHADED AREA TO BE FILLED IN FOR THE FIRST TANK ONLY) <br /> /�� !!f! WYA f/!f///!�A/!I/! N// /!! !!//!///!4/, <br /> S 3 <br /> S CC <br /> OWNER NAMES, ,`/J� OWNER PHONE # <br /> ve- <br /> N CONTRACTOR&, �. CON. P HONE# <br /> E 1 YfS <br /> R SJLHD PERMIT # EPA # FIRE PERMIT # _56 ,`6;� <br /> A <br /> L <br /> INSPECTORS�7' DATE c'J) 90 TANK # 39 <br /> R RINSED (Y/N) METHOD RINSE AMOUNT . <br /> I <br /> N RINSATE DISPOSAL SITE <br /> S <br /> E MANIFEST # _— —- --OR- OTHER <br /> V VAPORS PURGED , (Y/N) . METHOD AMOUNT USED. , <br /> A <br /> P L. E. L: READING AT REMOVAL (MUST BE ( 20%) l <br /> O <br /> T R COMMENTS <br /> A <br /> N TANK MATERIAL (STEEL, .FIBERGLASS, :OTHER) ANK' SIZE <br /> K C _ <br /> / O TANK COND IT I O _-(G po A POOR, HOLES) S�> ate. GG��. ce.) <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 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 /> O H DEPTH TO G. W. FT SAMPLING METHOD <br /> 0 <br /> b # OF HOURS SINCE DEWATERING: <br /> E O OTHER SAMPLE; <br /> LABORATORY a SAMPLERS NAME , (l <br /> �� !e C, <br /> CLOSURE IN PLACE MIXTURE: VOLUME : <br /> E1-( 23043 ( 10/89) DRAW SITE MAP ON REVERSE <br />