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N <br />E <br />R <br />A <br />L <br />I <br />I <br />I <br />I <br />N <br />S <br />P <br />E <br />c <br />T <br />N <br />I <br />'PHS-EHD - UNDERGND TANK CLOSURE/ABANDONM* INSPECTION <br />(SHADED AREA TQ*E FILLED IN FOR THE FIRST TANK ONLY) <br />OWNER -NAME OWNER PHONE # <br />CONTRACTOR CON. PHONE# <br />SJLHD PERMIT EPA FIRE PERMIT # <br />INSPECTOR DATE <br />R RINSED Y'N) METHOD'_ <br />I �f <br />N RINSATE DISPOSAL SITE <br />S <br />E <br />I: <br />C <br />0 <br />N <br />S <br />T <br />TANK # 39 - <br />RINSE AMOUNT <br />MANIFEST # -OR- OTHER <br />VAPORS PURGED 4(Y/N) METHOD' AMOUNT USED 177-- <br />5 ig <br />L.E.L. READING AT REMOVAL (MUST BEJ 20%) 0 <br />COMMENTS <br />TANK MATERIAL I FIBERGLASS, OTHER) TANK SIZE <br />TANK CONDITION (GOOD, POOR LE <br />PIPE MATERIAL (STEEL, IBERGLAS OTHER) # FEET 7 <br />PIPING CONDITION (GOOD, -POOR HOLES) <br />T DEPTH SOIL TYPE OBSERVATION SAMPLE <br />A <br />N <br />K <br />1111 EXCAVATION SIZE: x X YDS �SO �FS _�.- <br />S 7 YDS OF SOIL: <br />SOI <br />A DEPTH SOIL TYPE I OBSERVATION <br />M P <br />I I SAMPLE <br />ml�l - �Mlmpj�lllw. 'Alreffin—mai <br />I - <br />E <br />TRENCH DIMENS 'iION X X <br />YDS OF SOIL <br />H DEPTHTO G. W. FT SAMPLING METHOD <br />0 # OF HOURS SINCE DEWATERING: <br />0 OTHER SAMPLE: <br />LABORATORY: <br />SAMPLERS NAME: <br />J��VL <br />CLOSURE IN PLACE MIXTURE: tjW VOLUME: okjjV} <br />H 227043 (10/89) DRAW SITE MAP ON REVERSE <br />