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SJLHD - UNDERPnOUND TANK CLOSURE/AB,ANDONMFNT INSPECTION <br /> (SHADED AREA J BE FILLED IN FOR THE FIE TANK ONLY) j <br /> mill IF <br /> ;CON <br /> ;ER <br /> OWNER PHONE # <br /> CON. PHONE# <br /> EPA # FIRE PERMIT # n SCEn � <br /> NORM S113111i DATE b125 TANK # 39 - fi� - <br /> EJ <br /> T <br /> RINSED (Y N) METHOD RINSE AMOUN <br /> I <br /> 3 RINSATE DISPOSAL SITE <br /> MANIFEST # -OR- OTHER <br /> V VAPORS PURGED (Y N) METHOD �>/,�,/ LcC AMOUNT USED ',2b <br /> A CJ <br /> P L.E.L. READING AT REMOVAL (MUST BE < 20%) <br /> O <br /> T R COMMENTS <br /> A <br /> N TANK MATERIAL (STEEL, FIBERGLASS, OTHER) TANK SIZE ((DCOCTOLLoN <br /> K C <br /> / 0 TANK CONDITION (GOOD, POOR, HOLES Ce�n-tt, <br /> P N <br /> I S PIPE MATERIAL (STEEL, FIBERGLASS, OTHER) # FEET <br /> P T <br /> I PIPING CONDITION (GOOD, POOR, HOLES ) r <br /> N <br /> G DEPTH SOIL TYPE OBSERVATION SAMPLE # <br /> T <br /> F AWd4 I r - z' c <br /> I N <br /> E K <br /> L <br /> D EXCAVATION SIZE: X �' X YDS OF SOIL: Giin� kc-'U a� <br /> A <br /> S _ <br /> I A DEPTH SO L TYPE OBSERVATION\ SA LE # <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 /> Foll OTHER SAMPLE: <br /> LABORATORY: SAMPLERS NAME: <br /> CLOSURE IN PLACE I MIXTURE: VOLUME: -- <br /> DRAW SITE MAP ON REVERSE <br />