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SJLHD -• UNDE 'ROUND 'TANK CLOSURE/Al(ANDOI :NT INSPEf TIUN <br /> (SHADED AREn TO HE FILLED IN FOR THE FI ST TANK QN,LY) <br /> G GWNER 1NAM r �;I(r� ' ` OWNER PHONE <br /> E mcm o 4r — <br /> N t CONTRACTOR Vk5-6� McEer CON. PHONII �r� MQssIC. <br /> E VV�c 1"` <br /> R � SJLHD PERMIT I EPA Y(-.gccrz)tsi y.2c] FIRE PERMIT <br /> L . . . . . . . . . . wing, <br /> . . . . . . . : . . . . . . . . . . . . . . : �itti c <br /> [7 <br /> INSPECTOR C Nt4 DATE 5lglFa TANK Y 39 - <br /> R RINSED N) METHO �7�yF2 ✓ RINSE AMOUNT//� <br /> • I <br /> N RINSATE DISPOSAL SITE P NR24 ?een, STD _ g _c c <br /> S <br /> E MANIFEST Y -OR- OTHER <br /> V VAPORS PURGED (Y/N) METHOD AMOUNT USED - <br /> P L.E.L. READING AT REMOVAL (MUST B < 208) <br /> 0 <br /> T R COMMENTS <br /> A <br /> N TANK MATERIAL STEE FIBERGLASS, OTHER) TANK SIZE <br /> K C <br /> / 0 TANK CONDITION (GOOD, OOR, HOLES)1jt, d <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 r ri <br /> F A a rQ c dsl <br /> I N <br /> E K <br /> L <br /> D EXCAVATION SIZE: H X X YDS OF SOIL : <br /> 3- <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 /> T G TRENCH DIMENSION X XYDS OF SOIL <br /> I <br /> 0 H DEPTH TO C.W. : FT SAMPLING METHOD <br /> N 2 <br /> 0 1 OF HOURS SINCE DEWATERING: <br /> HF—oll OTHER SAMPLE: <br /> LABORATORY: WQr r�ro mw'- sfi SAMPLERS NAME• I ,/ <br /> «,iaN s ,Ro o - I G,v e <br /> CLOSURE IN PLACE I MIXTURE: VOLUME: <br /> DRAW SITE MAP ON REVERSE <br /> Elf ?:l 0-13( 71/88) <br />