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SJLHD - UNDERF-OUND TANK CLOSURE/ABANDONMFNT INSPECTION <br /> (SHADED AREA J BE FILLED IN FOR THE FIE a TANK ONLY) ; <br /> G OWNER NAME OWNER PHONE # <br /> E <br /> N CONTRACTOR CON. PHONE# <br /> R SJLHD PERMIT # EPA # FIRE PERMIT # CAJ SCENE <br /> - <br /> A <br /> L — <br /> INSPECTORKrou y DATE F, Z� rG TANK # 39 <br /> R RINSED (Y/t!v METHOD RINSE AMOUNT — <br /> I <br /> N RINSATE DISPOSAL SITE <br /> S <br /> E MANIFEST # -OR- OTHER <br /> V VAPORS PURGED (Y ) METHOD//R,/ 1 CE AMOUNT USED <br /> A <br /> P L.E.L. READING AT REMOVAL (MUST BE < 20%) <br /> 0 <br /> T R COMMENTS <br /> A <br /> N TANK MATERIAL (STEEL FIBERGLASS, OTHER) TANK SIZE 1-`SC "a <br /> K C <br /> / 0 TANK CONDITION (GOOD , HOLES ) nc> c `Y " ~` r 1�iYo V"U" <br /> P N <br /> I S PIPE MATERIAL TEE , FIBERGLASS, OTHER) # FEET <br /> P T <br /> I PIPING CONDITION (GOOD, POOR, HOLES ) <br /> N <br /> G DEPTH SOIL TYPE OBSERVATIONRYDSOF <br /> SAMPLE # <br /> T <br /> F A {I N E K <br /> D EXCAVATION SIZE: X X : "Oro-,- <br /> I <br /> roXI A EPTH OIL TYPE SERVATION 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: SAMPLERS NAME: <br /> CLOSURE IN PLACE MIXTURE: VOLUME: <br /> DRAW SITE MAP ON REVERSE <br />