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' PHS—EHD — UNDE1f <br /> :G�+D TANK CLOSURE/ABANDOh(' J,-ANSF'ECTION <br /> (SHADED AREA '10 RE FILLED IN FOR THE FIRST" TANK ONLY) <br /> EOWNER NAME y. <br /> Sco�� OWNER PHONE # �3� _]3Y� <br /> N CONTRACTOR Sr=�c� CON. PHONE# _ <br /> E s <br /> R SJLHD PERMIT # A 9 see iP�k, rG <br /> C c ooy7Cou EA # FIRE PERMIT #A . <br /> � <br /> L i i ii/f <br /> INSPECTOR oz DATE �� TANK # 39 — d/-5-0 <br /> R RINSED (9N) METHODRINSE AMOUNT <br /> I I �--vic"5 <br /> N RINSATE DISPOSAL SITE <br /> S �-- <br /> E MANIFEST # —OR— OTHER <br /> V VAPORS PURGED (Y)p 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 <br /> / O TANK CONDITION (GOOD, 'POOF2 HOLES) i <br /> N <br /> r S PIPE MATERIAL STEE FIBERGLASS, OTHER) # FEET <br /> P T o2 S <br /> I PIPING CONDITION (GOOD, F'OOR HOLES) <br /> N <br /> G DEPTH SOIL TYPE OBSERVATION SAMPLE # <br /> T 11 1 <br /> I N vti iE <br /> E K <br /> L _ <br /> D EXCAVATION SIZE: X YDS OF SOIL: <br /> S <br /> I A DEPTH SOIL TYPE OBSERVATION SAMPLE # <br /> N M P <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 /> N <br /> 0 # OF HOURS SINCE DEWATERING: <br /> OTHER SAMPLE: <br /> LABORATORY: ' SAMPLERS NAME: <br /> GC G iztc�.i 'tel Ccf /L'7 Lc i- It, <br /> CLOSURE IN PLACE MIXTURE: VOLUME: <br />=H 23043 ( 10/89) DRAW SITE MAP ON REVERSE <br />' i <br />