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Soi..tiu - UirU.L'`•'UhuUNU TANK CLUSURE/AIANDf 4ENT INSPECTION <br /> (SHADED AR TO BE FILLED IN FOR THE 1 -!ST TANK ONLY) <br /> 1-4 Lt <br /> fioyd�j' 41C <br /> �To I�cli ff <br /> G < OWNER NAME nn OWNER PHONE # <br /> E <br /> N CONTRACTOR CON . PHONE# <br /> EYv� fat c� <br /> R SJLHD PERMIT # EPA # FIRE PERMIT # <br /> L <br /> INSPECTOR C , L02:n DATE ! TANK # 39 - - <br /> R RINSED (Y/N) METHOD RINSE AMOUNT <br /> I 1 7 <br /> N RINSATE DISPOSAL SITE <br /> S <br /> LE MANIFEST # -OR- OTH <br /> V VAPORS PURGED (Y/N) METHOD AMOUNT USED <br /> A <br /> P L.E.L. READING AT REMOVAL (M BE < 20% ) <br /> 0 <br /> T R COMMENTS <br /> A <br /> N TANK MATERIAL ( SEL, FIBERGLASS, OTHER) TANK SIZE <br /> K C <br /> / O TANK CONDI N (GOOD, POOR, HOLES) <br /> P N <br /> I S PIPE TERIAL ( STEEL, FIBERGLASS, OTHER) FEET <br /> P T ` <br /> I .PIPING CONDITION (GOOD, POOR, HOLES ) <br /> N <br /> G DEPTH -S&kb==qY-P-E OBSERVATION SAMPLE # <br /> F TA / t'fYa c - <br /> I N <br /> E K <br /> L rnaL4 <br /> D EXCAVATION SIZE: Y'l X X YDS OF SOIL: <br /> S- <br /> I A DEPTH SOIL TYPE OBSERVATION SAMPLE # <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 /> 0H DEPTH TO G.W. : FT SAMPLING METHOD <br /> N 2 <br /> UlEl <br /> 0 # OF HOURS SINCE DEWATERING: <br /> OTHER SAMPLE: <br /> LABORATORY: SAMPLERS NAME: <br /> CLOSURE IN PLACE MIXTURE: VOLUME: <br /> DRAW SITE MAP ON REVERSE <br />