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PHS-EHP"' - UND ]UND TANK CLOSURq ,BANDd�1T INSPECTION <br /> (SHAL._J AREr, BE FILLED IN FOR' fHE FIRST TANK ONLY) <br /> �NP <br /> E OWNER NAME OWNER PHONE # <br /> N CONTRACTOR <br /> E CON. PHONE# <br /> R SJLHD PERMIT # P <br /> A EFA # FIRE PERMIT # <br /> L <br /> J <br /> INSPECTOR e uN� DATE Q TANK # <br /> I RINSE ( /N) METHOD RINSE AMOUNT <br /> 'r <br /> N RINSATE DISPOSAL SITE <br /> S <br /> E MANIFEST # -OR- OTHER <br /> AV VAPORS PURGED (Y N) METHOD AMOUNT USED n <br /> P L. E. L. READING AT REMOVAL (MUST BE ( 20%) <br /> O <br /> T R COMMENTS <br /> A <br /> N TANK MATERIAL (STEE FIBERGLASS, OTHER) TANK SIZE <br /> K c {, 00� <br /> / O TANK CONDITIONGOO POOR, HOLES) <br /> N <br /> S PIPE MATERIAL (STEEL, FIBERGLASS, OTHER) # FEET <br /> I PIPING CONDITION (G00 , 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 S EXCAVATION SIZE: Sri `14%i� 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 <br /> I YDS OF SOIL <br /> O H DEPTH TO G. W. : FT SAMPLING METHOD <br /> N 2 <br /> U # OF HOURS SINCE DEWATERING: <br /> O OTHER SAMPLE: <br /> LABORATORY: SAMPLERS NAME: <br /> CLOSURE IN PLACE MIXTURE: VOLUME: <br /> EH 22043 (10/89) DRAW SITE MAP ON REVERSE <br />