Laserfiche WebLink
SJLHD - UNDE[t )UND 'TANK CLOSURVA1(ANDONI IT INSL'LCTIUN <br /> (SHADED ARE A`!'O DE FILLED IN FOR THE FIRST TANK ONLY) <br /> M!"MIUM1111112 <br /> J C L ,n NS <br /> 1,2 <br /> i o ST S�iYit� GR <br /> G OWNER NAMECA L 7R OWNER PHONE q45 <br /> E / <br /> N CONTRACTOR '� �Z 7X40 CON. PHONEI - ,�/ <br /> E �A o5 2 <br /> R SJLHD PERMIT 1 EPA 1 FIRE PERMIT q <br /> INSPECTO� VDATE 3� L <br /> 5TANK 1 39 - <br /> R RINSED N) METHOD, RINSE AMOUNT <br /> • I <br /> N RINSATE DISPOSAL SITE <br /> S <br /> E MANIFEST 1 -OR- OTHER <br /> V VAPORS PURGED Y ) METHOD )A �j AMOUNT USED 5� <br /> A <br /> P L.E.L. READING AT REMOVAL (MUST BE C 20%) <br /> 0 <br /> T R COMMENTS /;�N/< ,�// <br /> A �QSih GT�n�a�> - _% wxAi Iles aw- <br /> N TANK MATERIAL TEEL FIBERGLASS, OTHER) TANK SIZE /p p 6 <br /> K C <br /> / 0 TANK CONDITION (GOOD, POOR, HOLES) Ics N ouTe4 G"� 6r <br /> P N TAMC i� 3 L CA7f oMs <br /> I S PIPE MATERIAL (STEEL, FIBERGLASS, OTHER) q FEET <br /> P T <br /> I PIPING CONDITION (GOOD, POOR, HOLES) <br /> N tT <br /> G DEPTH SOIL TYPE OBSERVATION SAMPLE q <br /> T <br /> F A <br /> I N tV <br /> E K <br /> L <br /> D EXCAVATION SIZE: X X3_ YDS OF SOIL: <br /> S . <br /> I A DEPTH SOIL TYPE OBSERVATION SAMPLE 1 <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 /> 0 H DEPTH TO G.W. : FT SAMPLING METHOD <br /> N 2 <br /> 0 1 OF HOURS SINCE DEWATERING: <br /> ❑O uLOTHER SAMPLE: <br /> LABORATORY: AL PH A t_Ab SAMPLERS NAME: <br /> i <br /> CLOSURE IN PLACE I MIXTURE: VOLUME: <br /> DRAW SITE MAP ON REVERSE <br /> Ell 2:3 011:1(7/88) <br />