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-gr p4- 2_,4 f_3 <br />DRAW SITE MAP ON REVERSE <br />E <br />N <br />R <br />L <br />Z�- OWNER PHONE # <br />OWNE E� I --NE <br />? CONTRACORL� CON PHONE#- - <br />SJLHD PERMIT # EPA # FIRE DEPT M �, <br />'li? ai�ueu eiti*i <br />�bRARY CLbSURE <br />SJLHD INSPECTOR TANK # 39 <br />R RINSED (Y/N) METHO Q�� RINSE AMOUNT <br />I <br />N RINSATE DISPOSAL SITE /s- <br />E MANIFEST # -OR- OTHER <br />V VAPORS PURGED (Y/N) METHOD AMOUNT USED <br />P <br />O <br />L.E.L. READING AT REMOVAL (MUST BE < 20%) <br />- - - -- <br />T <br />R <br />COMMENTS <br />K <br />C---- <br />TANK MATERIAL (STEEL, FIBERGLASS, OTHER) <br />TANK SIZE <br />— <br />/ <br />0 <br />TANK CONDITIO (GOOD, POOR, HOLES) <br />PN-_.. <br />-__ __.._._. ....._ ._..._.___.. <br />I <br />P <br />S <br />T <br />PIPE MATERIAL STEEL FIBERGLASS, OTHER) # FEET <br />-- — - <br />I <br />PIPING CONDITIONGOOD POOR, HOLES) <br />N <br />G <br />T <br />DEPTH SOIL TYPE OBSERVATION SAMPLE # <br />_ <br />F <br />A <br />—.._..-- <br />E <br />K <br />/ S46 W4 <br />D <br />-le <br />EXCAVATION SIZE: 7/ 9 7X6 <br />10 op YDS OF SOIL: <br />S <br />G <br />- G <br />I <br />A <br />DEPTH <br />SOIL TYPE <br />OBSERVATION SAMPLE <br />N <br />M <br />P <br />-..__ <br />I <br />SP <br />I <br />- - --- -- - --...- -- - - --- - -- <br />PL <br />EI <br />P <br />E <br />--- - - - - - - -- - - <br />--- -- - ---- <br />CN <br />-- --- <br />T <br />G <br />TRENCH DIMENSIONS: YDS OF SOIL: <br />I <br />-- <br />0 <br />H DEPTH TO G.W.: FT SAMPLING METHOD <br />N2 <br />---- --- -- - ---....._...._.............._...._... <br />0 # OF HOURS SINCE DEWATERING: <br />❑O OTHER SAMPLE: <br />LABORATORY: SAMPLERS NAME:Ll I <br />—1 <br />CLOSURE IN PLACE <br />I MIXTURE: <br />VOLUME: <br />DRAW SITE MAP ON REVERSE <br />