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3. TANK INFORMATION WHC-S-ENT-136, Rev. 0 1. Tank 10 Nucnbef (as registeted wun Ecology): 10OWN-SS-28 2. Yeal' installed: 1 976 3. Tank capacity in gallons; 2000 4. Last su0Stance sloted: UMIL EAflED r;ot pit 4.'REASONi FORCONDUCfTING SITE CHECK/SIE ASSESSMENT -. . .;' *t.-'-, Cnaeck one: ____investigate investigate Suspected feleasea due t0 on-site envitonmfental coniaThnadof suspected lease due to cd-site envitonmental contamrinlationl Extend iempotary ctosuie of UST system to( mote than 12 months UST system undelgOing cnange-ifl-sevice UST system pamanenty ciosad-it-ptace X UST system petmanently Closed withi lank removed 5. CHECKLIST Requit ed by Ecofogy ot delegated agenc.y to( UST system closed oetoce Decemoaer 22. 1988 Otner (desctibe): ________________________________________ E.ach itatm of thet fullciwirig checiit Shull bz illitiailu by tlic persn registcred with ihi: Depaftment of Ecology whosat inaict appcafs bclow. 1. H-as Ine site cfecktisite assessmet oeen conducted according to applicaote Frocadutes specilied in the UST ~ sute cneck/site asssaet guidlance issued oy mea Depanmeni or Ecology?V 2. H-"a a telease Iram Ute UST system oten confitmned? NOTE; Owvaetsiop4awOs fhjust topofl ad cismei~d ieleaSdS 1o Use Oepataiefl ol Ecology ot daiegatl digwncy widtUf 24 3I Asore mreult of the site cnecK/site assessment enclosed with mis checklist? NOTE. Two copies oi ine sitei claoclc/uitsi asswesiti fdstlis must1 Od smoaitte' to we. Oupeflmnflt Lf Ecology accoting Wo the espoakfl t~quudifleflt speciaie in ine uS r .t eksitO 6f aSSOSeADIffl guida"CV- I hereby crtify thuf I laaave bces in repjusible c/u argr uf perforin ic site Jick/sita iisxssmnt described above. Persons subosaitingJ'alX' ittlaioniauar ~e surbjct io pcuaalii tinder Chapter 173360 1 VAC O~~. 6. OWNER'S SIGNATURE siqjika. Cod uenw PA..na" -0 1140"y /' 54aade.. as I ew A.WA. b~sm B-24 Yes No
WHC-SD-EN-TI-136, Rev. 0 B- 25 9155942D ATTACHMENT 3 1 Page
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LABORATORY: TMA/ARLI WHC-SD-EN-TI-1
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Received: 03/30/92 WHC-SD-EN-TI-136
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LABORATORY: THA/ARLI WHC-S-EN-TI-l
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( eceived: 04/03/92 WHC-SD-EN-TI-13
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WHC-SD-EN-TI-136, Rev. 0 TANK 100-N
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MARTIN MARIETTA ENERGY SYSTEMS, INC
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MauIs ID: 901226-051 WHC-SD-EN-TI-1
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LABORATORY: THA/ARLI WHC-S-EN-TI-13
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5.0 DATA PACKAGE COMENTS: WC-SD-EN-
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Receivedt 615104192 WHC-SD-EN-TI-13
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Received: @5/04/92 WHC-SD-EN-TI-136
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Received: GS/S4192 WIIC-SD-EN-TI-l
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