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SJLHD - UNDERGPOUND TANK CLOSURE/ABANDONMENT INSPECTION <br /> (SHADED AREA BE FILLED IN FOR THE FIR; TANK ONLY) <br /> G OWNER (NAME OWNER PHONE # II <br /> E <br /> N CONTRACTOR CON. PHONE# <br /> E <br /> R < SJLHD P IT # EPA # FIRE PERMIT # <br /> A <br /> L <br /> INSPECTORDATE � -13 TANK # 39 - -2320 - OodL <br /> �� <br /> R RINSED (Y METHOD RINSE AMOUNT <br /> I <br /> N RINSATE DISPOSAL SITE <br /> S <br /> E MANIFEST # -OR- OTHER <br /> V VAPORS PURGED OYN) METHOD �Q� I ds AMOUNT USED M (6S <br /> A <br /> P L.E.L. READING AT REMOVAL (MUST BE < 20$) <br /> O <br /> T R COMMENTS <br /> A <br /> N TANK MATERIAL EE , FIBERGLASS, OTHER) TANK SIZE .Ssb <br /> K C <br /> / 0 TANK CONDITION OOD, POOR, HOLES ) <br /> P N <br /> I S PIPE MATERIAL EEL FIBERGLASS, OTHER) # FEET <br /> P T <br /> I PIPING CONDITION (GOOD, POOR, HOLES ) <br /> N <br /> G DEPTH SOIL TYPE OBSERVATION SAMPLE # <br /> T ed (yr cl <br /> - L <br /> F A Ck <br /> I N <br /> E K <br /> L <br /> D EXCAVATION SIZE: X _ X YDS OF SOIL: <br /> S- <br /> I A DEP SOIL TYPE OBSERVATION SAMPLE # <br /> N M P <br /> S P I 14,YAI <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: QClnoh te, SAMPLERS NAME: 50� C � <br /> CLOSURE IN PLACE I MIXTURE: VOLUME: <br /> DRAW SITE MAP ON REVERSE <br />