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LHU - UNDE!":RUUND 'TANK �LUSURL,�/AL(ANDUN'"liN'T 1N;ji'ECTIUN <br /> (SI/A DED ARF.._ TO DF FILLED IN FOR THE F.4 T TANK ONLY) <br /> G s OWNER NAME OWNER PHONE 4 <br /> E <br /> N < CONTRACTOR CON . PHONE# <br /> E <br /> R SJLHD PERMIT I EPA N FIRE PERMIT N <br /> L <br /> INSPECTOR � DATE /q/Sy TANK Y 39 _ <br /> R RINSED (Y& METHOD RINSE AMOUNT <br /> I <br /> N RINSATE DISPOSAL SITE <br /> S <br /> E MANIFEST # s -OR- OTHER <br /> V VAPORS PURGED �N) METHOD I)� �CL AMOUNT USED �D�� <br /> A <br /> P L.E.L. READING AT REMOVAL (MUST BE < 20%) <br /> O <br /> T R COMMENTS <br /> A <br /> N TANK MATERIALTEEL FIBERGLASS, OTHER) TANK SIZE Le G <br /> K C 1 406 <br /> / 0 TANK CONDITION (GOOD, POOR, HOLES ) .VOG✓t0FAtcG A_cac�ia_), P,o Het�^5 <br /> P N Ho-re <br /> I S PIPE MATERIAL (STEEL, FIBERGLASS, OTHER) 0 FEET �B - <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 S 45 _ <br /> I N J <br /> E K rl , <br /> L <br /> D EXCAVATION SIZE: X X YDS OF SOIL : <br /> S- - - - <br /> I A DEPTH SOIL TYPE OBSERVATION SAMPLE @ <br /> N M P <br /> S P I 1-3 spilyLe <br /> P L P NE # S <br /> E I E <br /> C N <br /> T G TRENCH DIMENSION X X YDS OF SOIL <br /> I 11 <br /> 0 HDEPTH TO G.W. : // FT SAMPLING METHOD n/o Jf 7 <br /> N 2 <br /> 0 1 OF HOURS SINCE DEWATERING: <br /> ❑O OTHER SAMPLE: <br /> LABORATORY: CSL �f/ATt SAMPLERS NAME: <br /> CLOSURE IN PLACE MIXTURE: VOLUME: _- <br /> DRAW SITE MAP ON REVERSE <br /> EH 23 0,1:3(7/88) <br />