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NAME 17 `� 5 � OWNER PHONE" 9. Z <br /> 7711 v <br /> .ACTOR - ' CON PHONE <br /> - <br /> lin PERMIT I EPA FIRE PERMIT 9 �. <br /> ICTOR DATE ���i` y TANK 39 - 3 - <br /> INSED %N ) METHOD RINSE AMOUNT' ` A <br /> RINSATE DISPOSAL SITE---jI? PL F-(oAe, <br /> LANIFEST -OR- OTHER ' <br /> APORS PURGED (Y, )N ) METHOD ��� -� � AMOUNT USED <br /> r- E . L . READING AT REMOVAL (MUST BE C 20% ) ` » <br /> COMMENTS <br /> LANK MATERIAL (STE� FIBERGLASS, OTHER ) TANK SIZE <br /> ANK CONDITION ( GOOD POOR, HOLES } <br /> PIPE MATERIAL ( STEEL, FIBERGLASS, OTHER ) . FEET y <br /> �IPING CONDITION ( GOOD, POOR, HOLES ) <br /> DEPTH SOIL TYPE. OBSERVATION " ' t 'SAMPLE i , <br /> T ' <br /> L <br /> ry i <br /> , <br /> K u <br /> EXCAVATION SIZE: X X YDS OF SOIL <br /> DEPTH SOIL TYPE OBSERVATION ;SAMPLE t <br /> P <br /> TRENCH DIMENSION X X : YDS OF SOIL <br /> DEPTH TO G. W. : FT SAMPLING METHOD <br />' 0 I OF HOURS SINCE DENATERZ.NG : . <br /> OTHER SAMPLE : - _ <br />