Laserfiche WebLink
( JnAUCU AAzA lu dL rILLGU IN NUR THE FIRS TANK UNLY) <br /> G OWNER NAME OWNER PHONE # <br /> N CONTRACTOR CON. PHONE# <br /> E —.— - --- - -----— <br /> R SJLHD PERMIT # EPA # FIRE DEPT <br /> L _ &_ <br /> SJLHD INSPECTOR ', Z TANK # 39 <br /> R RINSED (Y/ METHOD RINSE AMOUNT <br /> I —' <br /> N RINSATE DISPOSAL SITE <br /> E MANIFEST # GU yr -OR- OTHER <br /> V VAPORS PURGED (Y _N)-- METHOD��_—� AMOUNT UU <br /> A <br /> P L.E.L . READING AT REMOVAL (MUST BE < 20$) <br /> 0 - <br /> T R COMMENTS <br /> N TANK MATERIAL 4fTERV, FIBERGLASS, OTHER) 1 TANK SIZE b �� <br /> K C -- <br /> / 0 TANK CONDITION G POOR, HOLES ) <br /> P N _. ........... <br /> I S PIPE MATERIAL !TEE , FIBERGLASS, OTHER) # FEET <br /> P T — <br /> I PIPING CONDITION GO , POOR, HOLES) <br /> N -- — <br /> G DEPTH SOIL TYPE OBSERVATTIIO-N —y�— SAMPLE # <br /> I N - - - --_-._....._..._............. <br /> ---....__.....- --- — <br /> E K - <br /> L --- — _- - --- ---- - ..._ ._.. <br /> D EXCAVATION SIZE: u U/ — YDS OF SOIL : <br /> Z <br /> I A DEPTH SOIL TYPE OBSERVATION S PLE # <br /> NM P — _.-...._...'_.. ... - _ _-_—.-._.._..._.__---_ <br /> S P I -- ----- <br /> P L P - . <br /> _..—.....- ._ .............._ .. ... ...__............--- - <br /> E I E — <br /> C N — <br /> T G TRENCH DIMENSIONS : I//� YDS OF SOIL: <br /> I <br /> 0moDEPTH TO G.W. : O FT SAMPLING METHOD <br /> N ---# OF HOURS SINCE DEWATERING: <br /> ❑0 OTHER SAMPLE: N/ <br /> LABORATORY: AL- SAMPLERS NAME: <br /> CLOSURE IN PLACE I MIXTURE: A1 VOLUME: <br /> DRAW SITE NAP ON REVERSE <br />