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SJLHD - UNDE' OUND TANK CLOSURE/AILANDOI' T INSYL(wl'iUN Zll <br /> (SHADED AREA-. O DE FILLED INFOR THE Fl .S TANK ONLY) l0 <br /> �� -ull 0111 Moll <br /> . . . tom . ' <br /> G OWNER 1NAME���1j OWNER PHONE I <br /> E G <br /> N CONTRA <br /> CCTOR CON. PHONE# �Q <br /> E STac�7vN /✓ P_f/G7i �G <br /> R SJLHD PERMIT I FIRE PERMIT I /,7-,,/ 6 <br /> L TIMM MINI In IN <br /> INSPECT DATE 6 2 8 TANK Y 39 <br /> R RINSED Y N) METHOD RINSE AMOUNT <br /> I <br /> N RINSATE DISPOSAL SITE <br /> S <br /> E MANIFEST I -OR- OTHER <br /> V VAPORS PURGED Y N) 7HETHOD J) G F I AMOUNT USED /s <br /> A <br /> P L.E.L. READING AT REMOVAL (MUST BE < 20%) <br /> 0 <br /> T R COMMENTS <br /> A <br /> N TANK MATERIA (ST�EEL, FIBERGLASS, OTHER) TANK SIZE <br /> K C <br /> / OTANK CONDITIO (GOOD POOR, HOLES) <br /> P N <br /> I S PIPE MATERIAL (STEEL, FIBERGLASS, OTHER) I FEET <br /> P T <br /> I PIPING CONDITION (G00 POOR, HOLES) <br /> N <br /> G DEPTH SOIL TYPE OBSERVATION SAMPLE I <br /> T 'j o in <br /> F A <br /> I N <br /> E K <br /> L <br /> D EXCAVATION SIZE: X X YDS OF SOIL: <br /> 3- <br /> I A DEPTH SOIL TYPE OBSERVATION SAMPLE I <br /> N M P <br /> S P I v u — D rGtl <br /> P L P Sr D zrale - <br /> E I E <br /> C N <br /> T G TRENCH DIMENSION X X YDS OF SOIL <br /> I <br /> 0 H DEPTH TO C.W. : FT SAMPLING METHOD <br /> N 2 <br /> 0 I OF HOURS SINCE DEWATERING: <br /> 0 OTHER SAMPLE: <br /> LABORATORY: ✓ SAMPLERS NAME: <br /> i <br /> CLOSURE IN PLACE I MIXTURE: VOLUME: <br /> DRAW SITE MAP ON REVERSE <br /> FJ( Z:) 01:1(7/88) <br />