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PUBLIC �F" y, SZRVICES-r-Nl=ONMENTAL H- B DIVISION <br /> SITE Nl�L ADDRESS /c.�'Z�' S' 1 c� ru2���c pct% I CITY <br /> OWNED NAME IOWNTIR PHONE <br /> ; CONTRACTOR CONT. PRONE r <br /> F I'-R Ev PERMIT r � <br /> i <br /> _REMOVAL CLOSLRE PI:AC TEMPORARY CLOSURE: ! <br /> ; T <br /> INSPECTOR DATE TANK r 3 s 6 G 5 �� Rc,,�{ <br /> R I RINSED (YIN) SOD R7-%TSE AMC <br /> N RINSATE DISPOSAL SITE <br /> S <br /> E MANIFEST r OR OTHER <br /> V VA_DORS PURGED (J/N) !3=---GD (AMOUNT USED <br /> i A <br /> �j <br /> P READING AT REMOVALI L.?.L. : �L �b t 02: <br /> O <br /> R COMMS-T'S <br /> C I T_A1VR —ERGIASS, OZ`q=r- ) <br /> N TAIYR CONDITION (GOOD, POOR, HOLES I ��° p ,lu`'� ; <br /> trt <br /> T i PTFE ._AT=AL, (STz'� , FZ3E RGIASS, 02'Q <br /> � oTOE CONDITION (GOOD, -OCR, HOLES) <br /> DEPTH I SOIL T`T'3 I OBSERVATION I SAMPL r <br /> T <br /> I N I I L +I I I U i <br /> Z I Cwt I / <br /> S EXCAVATION SIZE X � ?DS OF SOIL <br /> A i <br /> i k DEPTH I S0= TYPE I OBS=VATION ` SA1�LE r <br /> P P <br /> i <br /> I P <br /> N <br /> G <br /> I <br /> TR'_l__ NCH Dim SiCB X X I YDS OF SO=T <br /> DEPTH TO G.W. : FT. SAMPLING �Mj =CD <br /> i 3 I <br /> 2 I r HOURS SMTC OL.�ATTERLVG: <br /> j 0 olr=- SAMM-=: <br /> i <br /> I <br /> LABORATOR`_': I SALr"R.S NAS : <br /> CLOSURE IN PLACE I r'='ItiRE: I VOLUNE: <br /> ZH 23-0043 (REV 2/23/94) PROV DE SITE �w <br />