Laserfiche WebLink
JG OWNER NAME OWNER PHONE # <br /> E <br /> N CONTRACTOR CON. PHONE# <br /> E <br /> R < SJLHD PERMIT # EPA # FIRE PERMIT # <br /> A <br /> L <br /> PECTOgYL�dj I DATE glD TANK # 39 <br /> RRINSED VY N) METH D ,f ;� , I RINSE AMOUNT <br /> I <br /> N RINSATE DISPOSAL SITE <br /> S <br /> E MANIFEST # -OR- OTHER <br /> V VAPORS PURGED (Y N) METHOD <br /> A < <br /> P L.E.L. READING AT REMOVAL (MUST BE < 20%) (/ <br /> 0 'V <br /> T R COMMENTS <br /> A <br /> N TANK MATERIALt TE , FIBERGLASS, OTHER) TANK SIZE b v <br /> K C <br /> / O TANK CONDITION (GOOD, , HOLES) <br /> P N <br /> I S PIPE MATERIAL ` ST FIBERGLASS, OTHER) # FEET <br /> P T <br /> I PIPING CONDITION (GOOD, 66-4, HOLES) <br /> N <br /> G DEPTH SOIL TYPE OBSERVATION SAMPLE # <br /> T <br /> F A <br /> I N <br /> n E K <br /> L <br /> D EXCAVATION SIZE: $ X 5� X S� 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 /> ❑O OTHER SAMPLE: <br /> LABORATORY: 11w <br /> SAMPLERS NAME: <br /> r CLOSURE IN PLACE I MIXTURE: VOLUME: <br /> DRAW SITE MAP ON REVERSE <br />