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S.1LHu — UNDEt—RUUND 'TANK CLOSURE/ABANDON' 7NT INSPECTION <br /> (SHADED ARE,, TO BE FILLED IN FOR THE F1 _,T TANK ONLY) <br /> G OWNER NAME OWNER PHONE # <br /> E <br /> N s CONTRACTOR CON. PHONE# <br /> E <br /> R < SJLHD PERMIT # EPA # FIRE PERMIT # <br /> L t <br /> INSPECTOR DATE _ TANK # 39 <br /> RRINSED Y ) METHOD�ip� RINSE AMOUNT//D <br /> I NSC <br /> N RINSATE DISPOSAL SITE <br /> S <br /> E MANIFEST # -OR- OTHER <br /> V VAPORS PURGED Y N) -METHOD 0ye< ,Co, AMOUNT USED /-15- <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 TE , FIBERGLASS, OTHER) TANK SIZE Z(05'bD <br /> K C <br /> / 0 TANK CONDITION (GOOD, POOR,; HOLES) 5-� eaoc(a.d"-, nO hotto <br /> P N <br /> II T PIPE MATERIAL EEL FIBERGLASS, OTHER) # FEET /6 <br /> I PIPING CONDITION (GOOD, R, HOLES) <br /> N <br /> G DEPTH SOIL TYPE 0-9-SERVATION SAMPLE # <br /> T _ <br /> F A <br /> I N <br /> E K L L <br /> L <br /> D EXCAVATION SIZE: X <br /> S- <br /> X YDS OF SOIL: �53 <br /> I A DEPTH SOIL TYPE OBSERVATION AMPLE I <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 1 # OF HOURS SINCE DEWATERING: <br /> ❑0 OTHER SAMPLE: <br /> LABORATORY: i Li C SAMPLERS NAME: <br /> CLOSURE IN PLACE I MIXTURE: VOLUME: - <br /> DRAW SITE MAP ON REVERSE <br />