Laserfiche WebLink
PHS—EHD,•-- UNDE- FOUND TANK CLOSURIBAND(r T INSPECTION <br /> (SHAl ARE4 ( BE FILLED IN FO .HE F I`hc 'I TANK ONLY) <br /> E OWNER NAME OWNER PHONE # <br /> N CONTRACTOR <br /> E CON. PHONE# <br /> R SJLHD PERMIT # <br /> A EPA # FIRE PERMIT # <br /> L r 1 <br /> J <br /> INSPECTOR DATE TANK # 39 <br /> R RINSED (( N) METHOD RINSE AMOUNT <br /> I 1.,ctt+G Wu`.'Vi <br /> N RINSATE DISPOSAL SITE <br /> S <br /> E MANIFEST # —OR— OTHER <br /> V VAPORS PURGED ON) METHOD AMOUNT USED <br /> A <br /> P L. E. L. READING AT REMOVAL (MUST BE ( 20%) <br /> 0 <br /> T R COMMENTS <br /> A <br /> N TANK MATERIAL (STEEL FIBERGLASS, OTHER) TANK SIZE <br /> K C SGSOt� <br /> / O TANK CONDITION (GOOD POOR, HOLES) <br /> N <br /> x S PIPE MATER I A (STEE , FIBERGLASS, OTHER) # FEE"f�P P'`�/ <br /> P T <br /> we <br /> I PIPING CONDITION (GOOD, POOR, HOLES) <br /> N <br /> G DEPTH SOIL TYPE OBSERVATION <br /> T SAMPLE # <br /> F A <br /> I N . <br /> E K <br /> L <br /> D EXCAVATION SIZE: X YDS OF SOIL: <br /> S <br /> I A DEPTH SOIL TYPE OBSERVATION <br /> N M p SAMPLE # <br /> S P I <br /> P L p <br /> E I E l <br /> C N <br /> T G TRENCH DIMENSION X <br /> I X YDS OF SOIL <br /> 0 H DEPTH TO G. W. : FT <br /> N 2 SAMPLING METHOD <br /> G # OF HOURS SINCE DEWATERING: <br /> O OTHER SAMPLE: <br /> LABORATORY: 7 SAMPLERS NAME: W <br /> CLOSURE IN PLACE MIXTURE: r <br /> VOLUME: <br /> EH 23043 (10/89) DRAW SITE MAP ON REVERSE <br />