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PUBLIC HEAALT SZ2VICE.S-Z"lRCN T3L EAN3 DIVISION <br /> SITE N 'i't g ?DRESS CT*T+v <br /> 1 <br /> OWNER NE OWER PHONE x <br /> CONTRACTOR �-3 E C9NT. PEaNE T j <br /> FIR �� <br /> E PII' I <br /> RmKOvA2. CLosu'2x F, =5 PT_.2,CE T�aRAR�_' CIASuR�: <br /> INSPECTORA,'gh4! DATE5- 1 mA1N� 39 _ 15 — <br /> RRINS ZD ) I MITWO D°"74�- ` -Rini. AMO <br /> N RIPTSAT= DISPOSAL SITE <br /> i <br /> S <br /> i E x�rFEST OR =RZI <br /> j V VAPORS PURGED ON) �m-r-TE00 <br /> P RE.3_D SVG 3T R.:.'-'uOVAL � L.y."s,. : � � G2: d <br /> I O <br /> R COM` 7'I`S <br /> C TAY{ `ATEPT L (STMZI, P130WASS, CTSF.R) <br /> o <br /> j N I =N7K CONDITI.CN (GOOD, POOR, aCL S) <br /> T I PIPE u-ATEPT.T. (STMZT , FIBERIOlSS, CTS ) r F= j <br /> r <br /> PIPE COND=TION (GCOO, PCOR, ROL:F.S) <br /> i <br /> DEPTE I SOIL TY2= JOSSZRVITION � SAMPLE r E <br /> T <br /> k � I 4 I <br /> j N I F k <br /> R I I G <br /> S i EXCAVAT20N SIZE x X\-•` `IDS OF SOP',.,, <br /> i A <br /> M Dmma IS4JOTYPE lOBSZRVATION SAMPLE <br /> P P I I <br /> L I I I EhA <br /> I IcQwl <br /> I I <br /> G <br /> T_R_:NC3 DiToNslCH X X YDS OF SOIL <br /> E <br /> I <br /> DEP'T`H TO G.W. : r T_'. SAMPLING METHOD <br /> H <br /> 2 HOURS SmmCy fJr..WERING: <br /> f <br /> r <br /> ° T <br /> OTHER S M &Z: <br /> L-A'ScRaTow. SAmP-fxRS YA1MM: <br /> c � <br /> i <br /> CLO SD"Rr iY PLACE � �XTuRE: I VC IZE I <br /> I <br /> _H 23-0043 (3.17 2/23/94) PROV._DE SITE MAP <br />