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0- - I . I 1ADDRESS--- <br />%J <br />OWNER NAME OWNER PHONE <br />1,CONTRACTOR ICONT. PHONE <br />REMOVAL CLOSURE IN PLACE TEMPORARY CLOSURE <br />'INSPECTOR DATE TANK 3 9 QfL2 <br />DID r •i <br />RINSATE DISPOSAL SITE <br />ilMANIFEST # C04LCtr0q-j,'J!ta OR OTHER <br />b W 14 Le) * k 1" 2 f <br />vj <br />"READING AT REMOVAL <br />TANK MATERIAL <�'EEL FIBERGLASS, OTHER) <br />• <br />TANK CONDITION (GOOD, •O•- :2 �S <br />�PIPE MATERIAL (STEEL, FIBERGLASS, OTHER:l <br />PIPE CONDITION (GOOD, POOR, HOLES) <br />DEPTH ISOIL TYPE JOBSERVATION SAMPLE <br />S EXCAVATION SIZE x x <br />A <br />M DEPTH ISOIL TYPE JOBSERVATION SAMPLE <br />p <br />L <br />G <br />TRENCH D32UNSION x x <br />DEPTH TO G.W.: FT. SAMPLING METHOD <br />HO -NCE <br />URS SI DEWATERING: <br />• <br />LABORATORY: G� AYA-MUM-1 W;nit4ruom <br />4 <br />CLOSURE IN PLACE lw=uta: <br />- ---- I - <br />0 <br />