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PUBLIC Y&UTH SERVICES-MTVLRONICENTA; TS DIVISION <br /> SITE NAME 7//, IUDRESS 6Z7 CITY -s <br /> Om= NAMESaw ( ow-x� PHONE f 116- ,531- 7711 <br /> CONTRACTORI cOxT. PHONE P 6 <br /> i FIRE PERMIT 11-A -90 <br /> Rv1OVAL CLOSIIRE =1 PEACE TEMPORARY CLOSURE I <br /> TVSPECTOR DATE ZZ� TANK ig 39 /0 <br /> R RINSED Vv/-N) I METHOD '� E AMOUNT Z140 <br /> I <br /> N RINSATE DISPOSAL SITE <br /> E I MANY ESTD 7 1; 6 c7 . OR OTEEFt <br /> f � <br /> V VAPORS PURGID(-D/N) (MOOD -� v d,�SO USID /Orb <br /> P READING AT RMESOVAL I L.E.L. : 30 % 02: <br /> O <br /> R COMI�NTS <br /> C I TANZi 1 ,TmS�, FTS' zRGLASS, OT=) <br /> 0 ` <br /> N TANK CONDITION (GOOD, _ , HOLcS) <br /> S <br /> T PIPE MA'^r.'-L_3L ( FSM. ZRGIASS, OT=) s F'Fs T <br /> j PIPE CONDITION (GOAD, OR HOLZS) <br /> i <br /> � I DEPTH ISOIL TYPE J OBSIDVATION I SAMPLE T <br /> i I <br /> I I I ! <br /> R ! I I I <br /> S EXCAV CION SIZE Y x YDS OF SOIL <br /> A <br /> DOTH SOIL TYPE JOBSMW=OIT I SA'PLE r j <br /> P P <br /> j L <br /> I I I ! <br /> N I I <br /> G I I <br /> TRENCS DIMErTSION X X I YDS OF SOIL <br /> DEPTH TO G.W. : FT. ( SAMPLING METHOD <br /> H <br /> 2 af HOURS SINCE DEWATERING: <br /> 0 <br /> OTHER SAMPLE: <br /> j <br /> LABORATORY: I SAY-PLr."RS :AME <br /> i <br /> CLOSURE IN PLACE ` MIXTME: I VOLUME: <br /> EH. 23-0043 (REV 2/23/94) PROVIDE SITE MAP <br />