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PUBLIC HEALTH SERV CES -ENVIRONMENTAL HEALTH DIVISION <br />EH 23-0043 (REV 2/23/94) PROVIDE SITE MAP <br />OWNER PHONE <br />REMOVAL • r• PLACE TEMPORARYCLOSURE <br />INSPECTOR <br />RINSE AMOUNTITr <br />RINSATE DISPOSAL..� <br />,MAN FEST OR OTHER <br />VAPORS PURGEDOY[ <br />:•r •r r r <br />t _ <br />• <br />� ( r <br />MAT Oi• I ERGLASS, • 'E1- <br />CONDITION (••r r•l" <br />PIPE MATERIAL (STEEL, (�TBERGTJ- <br />IPIPE s r • ••r -••- HOLES) <br />OBSERVATION <br />MUMMA <br />EXCAVATION SIZE X X <br />YDS OF SOIL <br />OBSERVATION <br />TRENCH DIMENSION X X YDS OF SOIL <br />• <br />DEPTH TO "SAMPLING METHOD <br />44 HOURS SINCE DEWATERING: <br />CLOSURE IN PIA�E <br />EH 23-0043 (REV 2/23/94) PROVIDE SITE MAP <br />