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!;r i <br /> PUBLIC " m SERvlCES-ENVIRONMMMAL .LT& DIVISION <br /> ! � <br /> r7;- CT- <br /> NAME i!- h.LOv .i ADDRESS :5 i� E ((J CITY f� Il` rLLJ <br /> NAME OWNER PHONE J4 yk <br /> ACTORT2X'S�D��e CONT. PHONE <br /> i <br /> PE=T <br /> r <br /> VAL CLOSURE ZI PLACETEMPORARY CLOSIIRE <br /> OR DATF�/��C1 TANK ,C# 39k <br /> R R2NSED v/N) METSODRINSE AMCZ7NT <br /> z <br /> N =SATE DISPOSAL SITE <br /> S E <br /> E XANI='ST OR OTHER <br /> V VA_mORS PQRG=ff/N) METHOD p� Ik AMOUNT USED <br /> A E <br /> F P RMAZ ING AT -REMOVAL L.E.L. : 07. I 02: L <br /> R COMFITS <br /> i� <br /> C TAXX MAT r STS' FIBERGLASS, OTfi._.R) <br /> O <br /> N TANK CONDITION (GOOD, HOLES) � ,r u S t e A u <br /> S ' <br /> T P E 1 T�:R;A r• ST~ T FIBERGLASS, OT=) F <br /> PIPE CONDITION (GOOD, BOOR, HOLES <br /> DEPTH SOIL T`r � OBSERVATION � � SAMPLE T <br /> P <br /> NTif <br /> I # IT I <br /> ilEEE <br /> I <br /> 1 <br /> S r''XCAOATION S_ZE X X JVYDS :OF SO= <br /> A <br /> m DEPTH ISOM TvPE JOBSERVATION s SAMPLE <br /> L T ! I >^ s I I <br /> 1 p <br /> E TRENCH DIMENSION X X Ek YDS OF SAIL <br /> DEPTH TO G.A. : FT. SAMPLING METHOD <br /> E <br /> H ! <br /> i 2 HOURS SINCE DEWATERING: <br /> E 0 !I <br /> OTHER SAMPLE.: <br /> k <br /> Q , <br /> LAa30RATORY: SAMPLERS YAM:.: V . <br /> CI,CSuRz: IN PLACE . mi'TuRE: VOLIIM--- <br /> —EH 23-4043 (REV 2/23/94) PROVIDE SITE MAID _ <br />