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SJLHD - UNDE '<OUND TANK CLOSURE/A1IANDOF :NT 1N! kPECTION <br /> (SHADED ARE,'-TO DE FILLED IN FOR THE F1-p.6T TANK ONLY) <br /> G < OWNER NAME OWNER PHONE N <br /> E 44 <br /> N CONTRACTOR CON. PHONE# <br /> E <br /> R < SJLHD PERMIT Y EPA R FIRE PERMIT N <br /> INSPECTORDATE 12/,3 TANK 0 39 - /028 - 02 <br /> R RINSED (Y/ JO METHOD RINSE AMOUNT— <br /> I <br /> N RINSATE DISPOSAL SITE <br /> S <br /> E MANIFEST I -OR- OTHER <br /> V VAPORS PURGED /N) METHOD >RY AMOUNT USED ( ILS <br /> LPR <br /> L .E.L . READING AT REMOVAL (MUST BE < 20%) <br /> T COMMENTS <br /> A (�ECrU(A F <br /> N TANK MATERIAL STEEL FIBERGLASS, OTHER) TANK SIZE 4tc)6 <br /> K C EViOEJVG OF Ca-fe0& WJE <br /> / 0 TANK CONDITION OOD, POOR, HOLES ) No HocEs nloT <br /> P N <br /> em <br /> I S PIPE MATERIAL 'ST&LL;, FIBERGLASS, OTHER) Y FEET NONE <br /> P T <br /> I PIPING CONDITION (GOOD, POOR, HOLES ) <br /> N <br /> G DEPTH SOIL TYPE OBSERVATION SAMPLE @ <br /> T 0 Cp <br /> F A - <br /> I N <br /> LK S cEYZLos4 P O O� <br /> D EXCAVATION SIZE: X X YDS OF SOIL : _- <br /> S- <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 _ X YDS OF SOIL <br /> .-- <br /> I <br /> O H DEPTH TO G..W. : _ FT SAMPLING METHOD WHINoLE:rll!0_nv/1Ott� <br /> l <br /> N 2 was rH <br /> 0 4 OF HOURS SINCE DEWATERING: —_ <br /> aOTHER SAMPLE: <br /> LABORATORY: ; wAye� SAMPLERS NAME: - <br /> CLOSURE IN PLACE I MIXTURE: "" VOLUME: <br /> DRAW SITE MAP ON REVERSE <br /> EH 2:1 0/1:3(7/88) <br />