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gjimu - UNDEI 'OUNU TANK CLOS URLiAUANDON,-cNT llq: L RcTi l <br /> (SHADED AREk-'fO BE FILLED IN FOR THE !%IJ(ST TANK ONLY) <br /> G OWNER NAME — vv OWNER PHONE Y <br /> E <br /> N CONTRACTOR --- Li m CON. PH0NEtl <br /> ezv (y� <br /> R < SJLHD PERMIT tl EP FIRE PERMIT tly�0 <br /> L <br /> INSPECTO DATE 3- 81TANK tl 39 <br /> R RINSEDN) METHOD (: / / M RINSE AMOUNT �Q� <br /> I 12 1 <br /> N RINSATE DISPOSAL SITE <br /> S <br /> E MANIFEST tl -OR- OTHER <br /> V VAPORS PURGED JY/N) METHOD R ZEE AMOUNT USED <br /> A <br /> P L.E.L. READING AT REMOVAL (MUST HE < 20%) <br /> O <br /> T R COMMENTS <br /> A / <br /> N TANK MATERIAL STEEL FIBERGLASS, OTHER) TANK SIZE <br /> K C <br /> / 0 TANK CONDITION (GOOD POOR, HOLES) <br /> P N <br /> I S PIPE MATERIAL (STEEL, FIBERGLASS, OTHER) I FEET <br /> P T e7t� Aw <br /> I PIPING CONDITION (GOOD, POOR, HOLES) <br /> N <br /> G DEPTH SOIL TYPE OBSERVATION hMPLE tl <br /> T 7117 <br /> _ <br /> F A <br /> I N <br /> E K <br /> L <br /> D EXCAVATION SIZE: X /S X 4L YDS OF SOIL: ?j O <br /> 3 . — <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 C.W. : FT SAMPLING METHOD <br /> N 2 <br /> 0 tl OF HOURS SINCE DEWATERING: <br /> ❑O OTHER SAMPLE: o/L <br /> LABORATORY: SAMPLERS NAME: <br /> CLOSURE IN PLACE I MIXTURE: VOLUME: <br /> DRAW SITE MAP ON REVERSE <br /> Ell 2:1 043(7/88) <br />