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SJLHD - UNDERGROUND 'TANK CLOSURE/A1tANDONMLNT INSVL''GT1UN <br />(SHADED AREA TODE FILLED IN <br />J�••,�;� FOR THE FIRST TANK ONLY) <br />Ll Al <br />f}RGGn/Av17g1—� . <br />C OWNER NAME OWNER PHONE N <br />E 7f2s1 �`10 7-0 <br />N CONTRACTOR <br />E CON. PHONEN'gy� 61112 !i <br />R SJLHD PERMIT NT L <br />O <br />LEPI► L206 �9 FIRE PERMIT Y /Z 6� <br />NNW ��. <br />INSPECTOR DATETANK N 39 -Lj� _ <br />R RINSED Y N) METRO <br />I i' e v f RINSE AMOUNT�� G' <br />N RINSATE DISPOSAL SITE �,� / f <br />E MANIFEST N <br />-OR- OTHER <br />V VAPORS PURGED N) METHOD <br />A .7Ce- IAMOUNT USED <br />P L.E.L. READING AT REMOVAL (MUST BE C 20%) <br />0 <br />T R COMMENTS <br />A <br />N %0/C se. / <br />TANK MATERIAL STEEL FIBERGLASS, OTHER) TANK SIZES <br />K c <br />/ 0 TANK CONDITION GOOD POOR, HOLES) <br />N <br />I w e Mem <br />S PIPE MATERIAL ( TEEL) FIBERGLASS, OTHER) N FEET <br />P T 7l4 v <br />I PIPING CONDITION (GOOD POOR, HOLES) <br />N <br />G r7 DEPTH SOIL TYPE OBSERVATION <br />T SAMPLE N <br />F A z <br />I N <br />E K <br />L <br />D EXCAVATION SIZE: <br />S: X z—e X YDS OF SOIL: <br />I A DEPTH SOIL TYPE OBSERVATION <br />N M p SAMPLE N <br />S p I <br />P L P <br />E I E <br />C N <br />T G TRENCH DIMENSION X X <br />I YDS OF SOIL <br />0 H DEPTH TO C.W.: <br />N 2 FT SAMPLING METHOD <br />O N OF HOURS SINCE DEWATERING: <br />r07 OTHER SAMPLE: <br />LABORATORY: C4L wi__Tfk SAMPLERS NAME: <br />D A de AO( <br />A"5 <br />CLOSURE IN PLACE MIXTURE: <br />VOLUME <br />