Laserfiche WebLink
RHS--EHD — UNDERGR . jTANK''iCLOSURE%ABANDONMEh4 �. SPECTION ' <br /> (SHADED AREA TO PFILLED IN FOR THE' FIRST TAN Z ONLY) <br /> w to �irrrr!/Irut✓rsuruL�lraruNr/lrcvll 'rvurluLlrru/rd`v rrr v rw�ur a uAMd,U !!urvr/!� ! �r �v+rnus v�iisu <br /> rlF��f, <br /> f'�� !' s I!�G'✓�� /� <br /> OWNER PHONE # (200)� J OWNER NAME Q <br /> L . <br /> N CONTRACTOR f/I CON, PHONE G' <br /> Ek UU <br /> I R SJLHD PERMIT # rj1A EPA; # ��, FIRE PERMIT # Ct f QZZ , <br /> A <br /> L <br /> INSPECTO� DATE �j TANK # 39 <br /> _ rrn if , <br /> R RINSED <f/,N) METHODS r1Q_ RINSE AMOUNT �� <br /> I <br /> N RINSATE DISPOSAL SITE <br /> e_� 0-/w <br /> S <br /> E MANIFEST # ! —DR— OTHER <br /> 4 <br />` V iVAPORS PURGED E <br /> Y/N) METHOD �r`� �l; AMOUNT USED <br /> A 7 <br /> P L. E. L. READING AT REMOVAL'' (MUST BE < 20%) <br /> 0 <br /> T R COMMENTS <br /> N TANK MATERIAL (STEEL, FIBERGLASS, OTHER) TANK SIZE 3£��., <br /> K 0 TANK CONDITION -(GOOD, OL >>) <br /> N Y� <br /> S PIPE MATERIAL (STEEL, FIBERGLASS, OTHER) # FEET <br /> P T <br /> I. PIPING CONDITION (GOOD, PbOR, )HOLES) ` <br /> N L v <br /> G DEPTH SOIL TYPE OBSERVATION SAMPLE # . <br /> F A <br /> I : N <br /> E K <br /> D EXCAVATION SIZE: _LL X X . YDS OF SOIL: <br /> S <br /> I . A DEPTH SOIL TYPE OBSERVATION SAMPLE # <br /> N M P � <br /> S'. P I Q `! <br /> P L P <br /> E I E <br /> C N <br /> T G TRENCH DIMENSION ,X X YDS OF SOIL <br /> I <br /> D'1 H DEPTH TO G. W. : FT SAMPLING METHOD <br /> N' 2 <br /> 4 # OF HOURS SINCE DEWATERING: <br /> 0 OTHER SAMPLE: <br /> u <br /> LABORATORY, SAMPLERS NAME: + �� <br /> CLOSURE IN PLACE MIXTURE: (� �L VOLUME: <br /> :4 23043 (10/89) DRAW .SITE MAP ON R�EVERSE <br />