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SJLND - UNDE",ROUND TANK CLOSURE/AL(ANDOP 'ENT INSPECTIUN <br /> (SHADED ARL TO HE FILLED IN FOR THE FAST TANK ONLY) <br /> � 11 <br /> G < OWNER NAME OWNER PHONE # <br /> E <br /> N < CONTRACTOR CON. PHONE# <br /> E <br /> R < SJLHD PERMIT # EPA # FIRE PERMIT # <br /> L <br /> INSPECTOR DATE - TANK 1 39 <br /> R RINSED (Y/N) METHOD RINSE AMOUNT G <br /> I <br /> N RINSATE DISPOSAL SITE <br /> S <br /> E MANIFEST # -OR- OTHER <br /> V VAPORS PURGED (Y/N) METHOD ,/! AMOUNT USED/,/Sri <br /> A b <br /> P L.E.L. READING AT REMOVAL (MUST BE < 20%) y� <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) # FEET <br /> P T <br /> I PIPING CONDITION (GOOD, POOR, HOLES ) <br /> N 1 11 <br /> G DEPTH SOIL TYPE OBSERVATION SAMPLE # <br /> T <br /> F A 5 !uTLE <br /> f a6-to <br /> I Nyv i w a rN c # <br /> E K <br /> L <br /> D EXCAVATION SIZE: X X YDS OF SOIL : <br /> 3- <br /> I A DEPTH SOIL TYPE OBSERVATION SAMPLE # <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 /> O H DEPTH TO G.W. : FT SAMPLING METHOD <br /> N 2 <br /> 0 # OF HOURS SINCE DEWATERING: <br /> UFOI <br /> OTHER SAMPLE: <br /> LABORATORY: SAMPLERS NAME: <br /> CLOSURE IN <br /> PLACE7 MIXTURE: VOLUME: <br /> DRAW SITE MAP ON REVERSE <br /> P1I :?'l 0�191� IoR) <br />