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3 - <br /> SJLHU — UD1 Ul;!<LI. i1VU 1111VA LVVV VII L'/Iu l(1p Uualan.e� a. .+c c... ..+.. <br /> (SHADED AREA TO DE FILLED IN FOR THE FIRST TANK ONLY) <br /> . . Mo - <br /> riftE <br /> G 1 OWNER NAME IM �/_ O \ M OWNER PHONE tl _ 2 fdo <br /> E <br /> N CONTRACTOR C �N(r CON. PHONEtl ' zU <br /> E <br /> R SJLHD PERMIT 1 EPA 1 FIRE PERMIT I / ea <br /> L y `� H � 1 <br /> INSPECTO DATE/ 3,g 9 TANK 1 39 <br /> R RINSED Y)N) METHOD ST��� M RINSE AMOUNT <br /> N RINSATE DISPOSAL SITE <br /> S <br /> E MANIFEST I -OR- OTHER <br /> V VAPORS PURGED /N) METHOD f/Z -jCP, AMOUNT USED �p <br /> A <br /> P L.E.L. READING AT REMOVAL (MUST BE C 203) <br /> O <br /> T R COMMENTS <br /> A <br /> N TANK MATERIAL (STEEL FIBERGLASS, OTHER) TANK SIZ <br /> K C <br /> / 0 TANK CONDITION (GOOD, POOR, HOLES EE � rA0 -f-vole5 <br /> P N <br /> I S PIPE MATERIAL (STEEL, FIBERGLASS, O 1 FE /-u <br /> P T <br /> I PIPING CONDITION (GOOD, POOR, HOLES) <br /> N <br /> G DEPTH SOIL TYPE OBSERVATION SAMPLE tl <br /> T - <br /> F A C. �. ' L ' ,t} 1 <br /> I N <br /> E K <br /> L <br /> D EXCAVATION SIZE: X XYDS OF SOIL: <br /> S: <br /> I A DEPTH SOI TYPE OBSERVATION SAMPLE I <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 1 OF HOURS SINCE DEWATERING: <br /> ❑O OTHER SAMPLE: <br /> LABORATORY: y p� <br /> SAMPLERS NAME: w7-F77 60 c 0,e fi� <br /> CLOSURE IN PLACE NIXTURE: VOLUME: <br /> DRAW SITE NAP ON REVERSE <br /> 1:11 23 04:1(7/88) <br />