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PHS—EHD• — UNDE^' 'OUND TANK CLOSUR "'BAND,,��rrJT INSPECTION <br /> (SHAT i AREF. "-J BE FILLED IN FO sHE F HS TANK ONLY) <br /> E •� OWNER NAME <br /> OWNER PHONE # <br /> N CONTRACTOR <br /> E CON. PHONE# <br /> R SJLHD PERMIT # EPA # FIRE PERMIT # <br /> A . <br /> L r <br /> J <br /> INSPECTOR DATE 0 TANK <br /> R RINSED (Y N) METHOD <br /> I RINSE AMOUNT <br /> �i ,�c(Jr' <br /> N RINSATE DISPOSAL SITE <br /> S rrseAl sr-14 <br /> E MANIFEST # —OR— OTHER <br /> V VAPORS PURGE (Y N) METHOD �C� <br /> A AMOUNT USED <br /> P L. E. L. READING AT REMOVAL (MUST RE < 20-A) <br /> 0 <br /> T R COMMENTS <br /> A <br /> N TANK MATERIAL (STEEL FIBERGLASS, OTHER) TANK SIZE <br /> K C <br /> / 0 TANK CONDITION GOO POOR, HOLES) <br /> N <br /> x S PIPE MATERIAL (STEEL, FIBERGLASS, OTHER) # <br /> P T o Gv o 0 <br /> I PIPING CONDITION (GOO POOR, HOLES) <br /> N <br /> G DEPTH7SOIL TYPE OBSERVATION <br /> T SAMPLE # <br /> F A > s N <br /> I N . <br /> E K <br /> L <br /> D S EXCAVATION SIZE: 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 YDS OF SOIL <br /> I <br /> O H DEPTH TO G. W. : FT <br /> N SAMPLING METHOD <br /> 2 <br /> U # OF HOURS SINCE DEWATERING: <br /> 0 OTHER SAMPLE: <br /> LABORATORY: SAMPLERS NAME: <br /> CLOSURE IN PLACE MIXTURE: VOLUME: <br /> EH 2',043 (10/89) DRAW SITE MAP ON REVERSE <br />