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SJLHD - UNDF 'ROUND 'TANK CLOSURE/A11ANDO! 'iN'1' INSPECTIUN <br /> (SHADED ARES TO BE FILLED IN FOR THE F2-.0ST TANK ONLY) <br /> G OWNER NAME OWNER PHONE Y <br /> E <br /> N CONTRACTOR CON . PHONEY <br /> E <br /> R j SJLHD PERMITY EPA Y FIRE PERMIT Y <br /> L 4 If T I it%lam : <br /> INSPECTOR ������� DATE a� fly ( TANK Y 39 <br /> (,YE <br /> R RINSED N) METHOD RINSE AMOUNT <br /> I <br /> N RINSATE DISPOSAL SITE <br /> S <br /> E MANIFEST Y -OR- OTHER <br /> V VAPORS PURGED /N) METHOD C.0 AMOUNT USED�6 <br /> A <br /> P L.E.L. READING AT REMOVAL (MUST BE C 20%) j, W L <br /> O <br /> T R COMMENTS <br /> A -_ — <br /> N TANK MATERIAL ( STEEL, FIBERGLASS, OTHER) TANK SIZE <br /> K C <br /> / O 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 Y <br /> T <br /> F A <br /> I N an crm� o <br /> E K �' Cg-&� <br /> L <br /> D EXCAVATION SIZE: X X YDS OF SOIL : <br /> s- - - - <br /> I A DEPTH SOIL TYPE OBSERVATION SAMPLE Y <br /> N M P <br /> S P I <br /> P L P <br /> E I E <br /> C N <br /> TG TRENCH DIMENSION X X YDS OF SOIL <br /> I <br /> 0 H DEPTH TO G.W. : FT SAMPLING METHOD <br /> N 2 <br /> 0 Y OF HOURS SINCE DEWATERING: <br /> ❑O OTHER SAMPLE: <br /> LABORATORY: SAMPLERS NAME: <br /> CLOSURE IN PLACE I MIXTURE: VOLUME: <br /> DRAW SITE MAP ON REVERSE <br /> I?11 2:1 0,1:1(71"`+) <br />