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SiL11D - UNDEAC 'BUND TANK CLOSURE/AB,ANDONMI INSPECTION <br /> (SHADED AREA BE FILLED IN FOR THE FIR: TANK ONLY) <br /> . . . . <br /> G OWNER NAME OWNER PHONE # <br /> E <br /> N < CONTRACTOR �� ,� CON. PHONE# <br /> E <br /> R SJLHD PERMIT # EPA # FIRE PERMIT <br /> A <br /> L <br /> INSPECTOR DATE 163 �r TANK # 39 <br /> R RINSED' (7�/N) METHOD� ,i-, RINSE AMOUNT <br /> I <br /> N RINSATE DISPOSAL SITE <br /> S <br /> E MANIFEST # -OR- OTHER <br /> V VAPORS PURGED Y N) METHOD '!, AMOUNT USED <br /> A c <br /> 20 �. <br /> P L.E.L. READING AT REMOVAL (MUST BE C 208) - <br /> 0 <br /> T R COMMENTS <br /> A <br /> N TANK MATERIAL ( STEE�L�, FIBERGLASS, OTHER) TANK SIZE 1t � _ <br /> K Cxn <br /> / 0 TANK CONDITION (GOOD, PHOLES) <br /> P N <br /> I S PIPE MATERIAL '(STEEL,,', FIBERGLASS, OTHER) T# FEET <br /> P T _ <br /> I PIPING CONDITION (GOOD,) POOR, HOLES) <br /> N <br /> G DEPTH SOIL TYPE OBSERVATION "'' SAMPLE # <br /> T <br /> F A <br /> I N <br /> E K <br /> D EXCAVATION SIZE: X _ X YDS OF SOIL: <br /> S- <br /> I A DEPTH SOIL TYPE OBSERVATION 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 t_T <br /> 0 H DEPTH TO G.W. : C FT SAMPLING METHOD j <br /> N 2 -. <br /> 0 # OF HOURS SINCE DEWATERING: F <br /> FO OTHER SAMPLE: <br /> LABORATORY: ,� i.�;r (' `� SAMPLERS NAME: — <br /> CLOSURE IN PLACE MIXTURE: VOLUME: r <br /> DRAW SITE MAP ON REVERSE <br />