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SJLHD - UP RGROUND 'TANK CLOSURE/AItAN.,AMENT 1NSPECTIUN <br /> (SHADED A)tCA TO BE FILLED IN FOR THE FIRST TANK ONLY) <br /> G OWNER '.NAME <br /> E / (� T OWNER PHONE 1 <br /> avy-moi yv-s7i <br /> N ( CONTRACTOR /roG CON. PHONEY <br /> E cl/O_ q d 7 <br /> R � SJLHD ERMIT 1 EPA 1 FIRE PERMIT 1 ` <br /> L HIM I <br /> INSPECTOR C Z DATE <br /> \ \?' /D/(v/il TANK 1 39 - /Uq 7 - O/ <br /> R RINSED (ION) METHOD Gz /�ssccce_ RINSE AMOUNT�a)sS-5 <br /> I <br /> N RINSATE DISPOSAL SITE <br /> S <br /> E MANIFEST M -OR- OTHER <br /> V VAPORS PURGED �N) METHODAMOUNT USED <br /> A GQ qhs <br /> P L:E.L. READING AT REMOVAL (MUST BE < 20%) <br /> 0 C '70 'T Ooo/ <br /> T R . COMMENTS <br /> A <br /> N TANK MATERIAL (STEEL FIBERGLASS, OTHER) TANK SIZE <br /> K C . l o0 <br /> / 0 TANK CONDITION GOO , POOR, HOLES) <br /> P N <br /> ! I S PIPE MATERIAL (STEEL FIBERGLASS, OTHER) Y FEET <br /> "P T <br /> I PIPING CONDITION ( 0 , POOR, HOLES) <br /> N <br /> G DEPTH SOIL TYPE OBSERVATION <br /> T SAMPLE Y <br /> F , A , c: <br /> I N <br /> E K <br /> L <br /> D EXCAVATION SIZE: L X X <br /> a,. .- YDS OF SOIL: a oss <br /> N M P DEPTH IL TYPE OBSERVATION SAMPLE p <br /> S P I <br /> P L P <br /> E I E <br /> C N <br /> T G TRT <br /> I OCH DIMENSION X X __ YDS OF SOIL <br /> 0 H DEPTH TO G.W. : <br /> N 2 FT SAMPLING METHOD Jvass �U6a9rgb <br /> 0 1 OF HOURS SINCE DEWATERING: <br /> OTHER SAMPLE: <br /> LABORATORY: SCiF e�l- SAMPLERS NAME: <br /> CLOSURE IN PLACE MIXTURE> VOLUME: <br /> ARAN SITE MAP ON REVERSI: <br />