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SJLHD - UNDF"GROUND 'TANK CLOSURE:/AL)ANDOP'ML•UT INSPECTION <br /> (SHADED AR.`, TO BE FILLED IN FOR THE F,�ST TANK ONLY) <br /> G OWNER N M ON ' <br /> N� OWNER P �O p� <br /> E !! <br /> N < CONTRACTORCON . PHONE# <br /> E L 74 <br /> 4 <br /> R < SJLHD PERMIT @ EPA I FIRE PERMIT H <br /> L - <br /> INSPECTORfi DATETANK Y 39 - I0 1 00- <br /> R RINSED Y/ ) METHOD RINSE AMOUNTgo <br /> - I <br /> N RINSATE DISPOSAL SITE <br /> S <br /> E MANIFEST I -OR- OTHER <br /> V VAPORS PURGEDY N) METHOD fl� �> AMOUNT USED <br /> A f <br /> P L.E.L. READING AT REMOVAL (MUST BE < 20%) ��L <br /> 0 <br /> T R COMMENTS <br /> A <br /> N TANK MATERIAL STEEL FIBERGLASS, OTHER) TANK SIZE <br /> K C <br /> / 0 TANK CONDITION (GOOD POOR, HOLES) <br /> P N <br /> I S PIPE MATERIAL (STEEL FIBERGLASS, OTHER) Y 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 I le <br /> *O <br /> E K � <br /> L <br /> D EXCAVATION SIZE: X X YDS OF SOIL: <br /> s- - - - <br /> I ADEPTH SOIL TYPE OBSERVATION SAMPLE I) <br /> N H 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 C.W. : FT SAMPLING METHOD <br /> N 2 <br /> 0 C OF HOURS SINCE DEWATERING: <br /> OTHER SAMPLE: <br /> LABORATORY: SAMPLERS NAME: <br /> CLOSURE IN PLACE MI TUBE: VOLUME: <br /> DRAW SITE MAP ON REVERSE <br /> Ell 2:1 01'1(7/88) <br />