Laserfiche WebLink
E <br />P 2or2 <br />SJLHD - UNDER UND TANK CLOS URE/AILANDONh.P INSPL:LTIUN <br />(SHADED AREA 0 DE FILLED IN FOR THE FIRST TANK ONLY) <br />............................................................. <br />'NAMEM7-60— <br />�it��ttlpl�ttY`��1tits <br />. <br />G OWNER <br />�A <br />OWNER PHONE # <br />N CONTRACTOR �� L <br />CON. PHONE#' _ <br />E <br />R < SJLHD PERMIT # E�PAi I F17REE P7ERRMIT # A <br />i <br />Lti�SI: I NP� �OItY-ti <br />INSPECTO <br />DATE <br />TANK # 39 <br />R I <br />RINSED Y N) <br />METHOD 6&Ai&d <br />RINSE AMOUNT` <br />N <br />S <br />/ <br />RINSATE DISPOSAL SITE <br />MANIFEST # -OR- OTHER <br />E <br />V <br />A <br />VAPORS PURGED Y N) <br />METHOD///v. <br />AMOUNT USED <br />15- <br />P <br />L.E.L. READING AT REMOVAL. (MUST Bd < 20%) <br />0 <br />T <br />R <br />COMMENTS <br />A <br />--- <br />N <br />TANK MATERIA (STEEL FIBERGLASS, OTHER) <br />TANK SIZE <br />K <br />/ <br />C <br />0 <br />_ <br />TANK CONDITION OD )POOR, HOLES) CoKROSie�✓ �hi�i <br />P <br />I <br />N <br />S <br />PIPE MATERIAL((STEEL 'FIBERGLASS, OTHER) <br /># FEET 1/ <br />P <br />I <br />T <br />PIPING CONDITIO (GOOD POOR, HOLES) / <br />N <br />G <br />=; <br />DEPT! SOIL TYPE OBSERVATION SAM LE # <br />F <br />T <br />A <br />_ <br />I <br />N <br />E <br />L <br />D <br />K <br />� <br />EXCAVATION SIZE: X X YDS OF SOIL: <br />3- <br />I <br />A <br />DEPTH SOIL TYPE <br />OBSERVATI <br />SAMPLE # <br />N <br />M <br />P <br />S <br />P <br />I <br />P <br />L <br />P <br />E <br />E <br />I <br />C <br />N <br />T <br />G <br />TRENCH DIMENSION X X — <br />YDS OF SOIL <br />I <br />O <br />H <br />DEPTH TO C.H.: FT <br />SAMPLING METHOD <br />N <br />2 <br />0 <br /># OF HOURS SINCE DEWATERING: <br />❑O <br />OTHER SAMPLE: <br />LABORATORY: CANON i�� / SPS <br />SAMPLERS NAME: <br />c <br />CLOSURE IN PLACE <br />MIXTURE: <br />VOLUME: <br />2;1 04;1(7/88) <br />DRAW SITE MAP ON REVERSE <br />