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i <br /> a_ <br /> PHS--EHD - UNDERF"` UND TANK CLOSURE/ABANDONftLIT INSPECTION <br /> (SHADED AREA "],)BE FILLED IN FOR THE FIRS7"TANK ONLY) <br /> owe <br /> E OWNER NAME OWNER PHONE # <br /> N CONTRACTOR CDN. PHONE# <br /> E , <br /> RR SJLHD PERMIT # EPA # FIRE PERMIT # <br /> L <br /> INSPECTOR DATE TANK # a--- <br /> R RINSED (Y/N) METHOD RINSE AM6 UNT <br /> I ; <br /> N ,� RI <br /> NSATE DISPOSAL SITE <br /> E MANIFEST # -OR- OTHER <br /> V VAPORS PURGED (Y/N) METHOD AMOUNT <br /> A USED <br /> F` L.E.L. READING AT REMOVAL (MUST BE ( GX) <br /> O : <br /> T R , COMMENTS <br /> A <br /> N TANK MATERIAL (STEEL, FIBERGLASS, OTHER) TANK SIZE <br /> K C <br /> / 0 TANK CONDITION (GOOD, POOR, HOLES) <br /> N <br /> S PIPE MATERIAL (STEEL, FIBERGLASS, OTHER) # FEET <br /> P T <br /> I PIPING CONDITION (GOOD, POOR, HOLES) <br /> N <br /> G DEPTH SOIL TYPE O@SERVATION " NG SAMPLE # <br /> T <br /> F A LEE alz-AY") <br /> I ly / . <br /> E K <br /> L <br /> D S EXCAVATION SIZE: X X YDS OF SOIL: <br /> I A DEPTH SOIL TYPE 0 SERVATION SAMPLE # <br /> N M P <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 N H DEPTH TO G. W. : FT SAMPLING METHOD <br /> 2 <br /> 0 # OF HOURS SINCE DEWATERING: <br /> O OTHER SAMPLE: <br /> LABORATORY: C dWGt-D ��. SAMPLERS NAME: <br /> CLOSURE IN PLACE MIXTURE: VOLUME: <br /> EH 23043 ( 10/89) DRAW SITE MAP ON REVERSE <br />