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PUBLIC HEAT' ' SERVICES-ENVIRONMENTAL HF -TH DIVISION <br /> SITE NAM &v,_ tlz rf a ADDRESS W.S-7 �', CITY 5k . <br /> OWNER NAMES Sdl �c.�t� OWNER PHONE # <br /> CONTRACTORS 25j.CC.D CONT. PHONE # <br /> FIRE PERMIT # �ZZ <br /> REMOVAL__Z CLOSURE IN PLACE TEMPORARY CLOSURE <br /> INSPECTOR DATE ��/ -Pl� TANK # 3 9 <br /> R RINSED /N) METHOD Cn ��, RINSE AMOUNT <br /> I <br /> N RINSATE DISPOSAL SITEpq//;,,� <br /> S <br /> E JIMANIFEST # OR OTHER <br /> V VAPORS PURGED /N) METHOD �,� AMOUNT USED /Zo <br /> A <br /> P READING AT REMOVAL L.E.L. : T02 -- <br /> 0 <br /> R 11 COMMENTS (plc._ 4 /x.. 0 4 r/�, y�ac, ✓� . <br /> C TANK MATERIAL TE , FIBERGLASS, OTHER) <br /> O <br /> N TANK CONDITION (GOOD, OR HOLES) <br /> S <br /> T PIPE MATERIALE , FIBERGLASS, OTHER) # FEET 1,5_1y� 7cn�'- <br /> PIPE CONDITION (GOOD, OR HOLES) <br /> DEPTH SOIL TYPE OBSERVATION SAMPLE <br /> T , <br /> A t Sa <br /> N <br /> K aclor <br /> S EXCAVATION SIZE ZZ If X __2L X /�/ YDS OF SOIL _30 <br /> A <br /> M 1DEPTH SOIL TYPE OBSERVATION SAMPLE # <br /> P P __.. <br /> L I <br /> I P <br /> N E <br /> G <br /> FREcl <br /> DIMENSION X X YDS OF SOIL[: I <br /> DEPTH TO G.W. : FT. SAMPLING METHOD <br /> H <br /> 2 # HOURS SINCE DEWATERING: <br /> 0 <br /> OTHER SAMPLE: <br /> LABORATORY 6,,,A4, SAMPLERS NAME: r(nt.- <br /> CLOSURE IN PLACE MIXTURE: VOLUME: <br /> EH 23-0043 (REV 2/23/94) PROVIDE SITE MAP <br />