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SJLHD - UNDERGROUND TANK CLOSURE/ABANDONMENT INSPECTION <br /> (SHADED AREA BE FILLED IN FOR THE FIR TANK ONLY) <br /> Is <br /> S . <br /> G OWNER NAME S /14 �I <br /> OWNER PHONE # �4 <br /> E 1\i <br /> N CONTRACTOR 5g,,,eo CON. PHONE# <br /> E ' <br /> R SJLHD PERMIT # /✓ EPA # // �Q FIRE PERMIT # <br /> A <br /> L <br /> INSPECTOP DATE TANK # 39 <br /> R RINSED N) METHOD lV�cv RINSE AMOUN <br /> I <br /> N RINSATE DISPOSAL SITE <br /> S <br /> E MANIFEST # -.OR- OTHER <br /> V VAPORS PURGED <br /> A Y ) METHOD AMOUNT pOD <br /> v� v <br /> P L.E.L. READING AT REMOVAL (MUST BE < 20% <br /> 0 <br /> T R COMMENTS <br /> A <br /> N TANK MATERIALSTE , FIBERGLASS, OTHER) TANK SIZE 3 PL <br /> K C <br /> / 0 TANK CONDITION (GOOD, A <br /> 00 , HOLES) <br /> P N <br /> I S PIPE MATERIAL ( TEE` FIBERGLASS, OTHER) # FEET <br /> P T <br /> I PIPING CONDITION (GOOD, 00 HOLES) <br /> N <br /> G DEPTH SOIL TYPE OBSERVATION SAMPLE # <br /> T 0 r ( <br /> F A <br /> I N <br /> E K <br /> L <br /> D EXCAVATION SIZE: X X YDS OF SOIL: <br /> s-_ <br /> I A DEPTH SOIL TYPE OBSERVATION SAMPLE # <br /> N M P <br /> S P I <br /> P L P <br /> E I E <br /> C N <br /> T G TRENCH DIMENSION X _ X YDS OF SOIL <br /> I <br /> 0 H DEPTH TO G.W. : FT SAMPLING METHOD <br /> N 2 <br /> 0 # OF HOURS SINCE DEWATERING: <br /> ❑0 OTHER SAMPLE: <br /> UHF—LABORATORY: ekt SAMPLERS NAME: <br /> CLOSURE IN PLACE I MIXTURE: VOLUME: <br /> DRAW SITE MAP ON REVERSE <br />