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SJLHD - UNDF 'ROUND TANK CLOSURE/AltANDOI .NT INSYECTIUN <br /> (SHADED ARE}P TO BE FILLED IN FOR THE Ffl(ST TANK ONLY) <br /> . , . . . � "al p . "aural <br /> im <br /> u� w;/ ,aw �w <br /> G OWNER NAT1 NER PHONE tl <br /> E <br /> N CONTRACTOR CON. PHONE# <br /> E <br /> 7R < SJLHD PERMIT tl EPA N FIRE PERMIT # <br /> Lffaa � ` '� <br /> INSPECTORI /,S& DATE 8q TANK Y 39 <br /> R RINSED (Y N) METHOD RINSE AM <br /> I Cern w <br /> N RINSATE DISPOSAL SITE O� <br /> S <br /> E MANIFEST Y -OR- OTHER <br /> V VAPORS PURGEDY N) METH <br /> O AMOUNT USED <br /> A <br /> P L.E.L. READING AT REMOVAL (MUST-43E ( 20%) <br /> O <br /> T R COMMENTS <br /> A ---__- - <br /> N TANK MATERIAL STEEL FIBERGLASS, OTHER) TANK SIZE <br /> K C <br /> / 0 TANK CONDITION (GOOD,(! OOR ` HOLES) <br /> P N <br /> I S PIPE MATERIAL (STEEL, FIBERGLASS, OTH R) 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 aye <br /> I N - <br /> E K <br /> L <br /> D EXCAVATION SIZE: X .47*5XYDS OF SOIL: <br /> s- <br /> I A DEPTH SOIL TYPE OBSERVATION SAMPLE k <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 C.W. : FT SAMPLING METHOD <br /> N 2 <br /> 0 1 OF HOURS SINCE DEWATERING: <br /> aOTHER SAMPLE: <br /> LABORATORY: CCt Ji Pnlr6(, hab5 SAMPLERS NAME: <br /> ulCLOSURE IN PLACE I MIXTURE: VOLUME: <br /> DRAW SITE MAP ON REVERSE <br /> '3 01:f(7/8)?) <br />