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kj 411!kf.21;11��11 4;1jj1Jj4II!k <br />ORR =154 - <br />TWEET <br />SITE NAME: C-HeVROtJ W4-20!611-1 SR#: 00-711�031 <br />ADDRESS: 16G !�C)QT-hj@�M R>UVD, CITY: TIZA&Y <br />OWNER NAME: aftevp-614 CTS - co, PHONE: 9- Oq - <br />CONTRACTOR: GbFTLEjZ-FjA,-N 111k. PHONE: sco - GG -7 SG�) <br />FIRE PERMIT #: 1JOD TANK #39 PIR, <br />0 PIPING REMOVAL E3 UST REMOVAL L3 CLOSURE IN PLACE L3 TEMPORARY CLOSURE' <br />INSPECTOR: R) tnij d7) DATE: PV04QUA <br />R <br />I <br />RINSED: L3 YES � NO <br />METHOD: W ILL B E ffAUI-ED AS; -w� <br />AMOUNT: (o LAX t - <br />N <br />RINSATE DISPOSAL SITE: <br />S <br />E <br />MANIFEST #: <br />OTHER TRACKING #: <br />V <br />A <br />P <br />0 <br />R <br />PURGED: U YES L3 NO <br />READINGS AT REMOVAL: <br />METHOD: AMOUNT USED: <br />L.E.L.: 02: COMMENTS*: <br />C <br />TANK MATERIAL: L3 STEEL Ll FIBERGLASS L3 OTHER <br />TANK SIZE <br />0 <br />TANK CONDITION: Ll GOOD L3 POOR Ll HOLES Comments*: <br />N <br />S <br />PIPE MATERIAL: U STEEL El FIBERGLASS L3 OTHER <br />TOTAL LENGTH OF PIPING <br />T <br />PIPE CONDITION: E3 GOOD L3 POOR Ll HOLES Comments*: <br />DEPTH <br />SOIL TYPE <br />OBSERVATION* <br />SAMPLE# <br />T <br />A <br />N <br />EXCAVATION SIZE: X x <br />L.9m Width Depth <br />S <br />DEPTH <br />SOIL TYPE <br />OBSERVATION* SAMPLE# <br />Amppgp-own <br />P <br />i M0115TV0wWzTS0kL-LC1IS%0 -9 <br />M <br />I <br />P <br />P <br />L <br />E <br />I <br />N <br />TRENCH SIZE: X X <br />(OD <br />Length wft Depth <br />G <br />H <br />DEPTH TO GROUNDWATER: N/A FT <br /># HOURS SINCE DEWATERING: NIA <br />SAMPLING METHOD: WA <br />OBSERVATION*: <br />STOCKPILE#1: Cubic Yards COVERED: L3 YES L3 NO SAMPLE# SAMPLE# <br />STOCKPILE#2: Cubic Yards COVERED: Q YES L3 NO SAMPLE# SAMPLE# <br />OTHER SAMPLES: UDC/PIPE SIDGY-PILE Is C04aRZP, (3,co's GjOlb <br />LABOF;LATORY:M6 C AN gIet-L'AN ALYTI CAL GCQ� <br />SAMPLERS NAME: eaW, Cjj ODDROFP <br />CLOSURE IN PLACE: I <br />BACKFILL MIXTURE: <br />VOLUME:' <br />SITE MAP ATTACHED": )0 YES L3 NO <br />EH 23-0043 (Rev 5/22/2007) <br />- r <br />9A Ge 2 c1t <br />IMPORTANT NOTES: Complete one form for each tank removed <br />* Include all comments/observations ** Site Map Required <br />