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-- - uirUc :wUcvu TANK CLOSURE/AUNDOI ;NT INSPECTION <br /> (SHADED AREXTO BE FILLED IN FOR THE FPNY T TANK ONLY) <br /> G OWNER NAME (( 7 <br /> E <br /> S GOcm < OWNER PHONE # <br /> N < CONTRACTOR CON. PHONE# <br /> E <br /> R < SJLHD PERMIT # EPA # CwCCOC <br /> cj03 FIRE PERMIT <br /> L -. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> INSPECTOR DATE TANK # 39 - IAC, - O <br /> R RINSED (Y ) METHOD RINSE AMOUNT <br /> I <br /> N RINSATE DISPOSAL SITE �— <br /> S <br /> E MANIFEST # Lf- 'CC�5(01) Ot94/l-[ -OR- OTHER <br /> A VAPORS PURGED Y/ ) METHOD �:>Ry AMOUNT USED <br /> P L.E.L. READING AT REMOVAL (MUST BE < 208) <br /> 0 <br /> T R COMMENTS <br /> A —�f-- —_.:-_. --:.- <br /> Al TANK WERIAL (S2-(:"(=L FI�3J':g6LA", �IiItER) i'aNx siiE c e <br /> K C <br /> / 0 TANK CONDITION (GOOD, !POOR, HOLES) C u"T 'C Lr,,ICti cV <br /> P N . : <br /> I S PIPE MATERIAL (STEEL, FIBERGLASS, OTHER) # FEET <br /> P T <br /> I PIPING CONDITION (GOOD, POOR, HOLES) <br /> N <br /> G DEPTH SOIL TYPE OBSERVATION SAMPLE # <br /> T <br /> F A "o <br /> I N L ,Z <br /> E K - <br /> L <br /> D EXCAVATION SIZE: X / X YDS OF SOIL : cYs a� <br /> S- <br /> I A DEPTH OIL TYPE 0 SERVATION AMPLE # <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 /> O H DEPTH TO G.W. : nkLMCCXO T SAMPLING METHOD <br /> N 2 <br /> 0 # OF HOURS SINCE DEWATERING: <br /> OTHER SAMPLE: <br /> LABORATORY: l �C f}' SAMPLERS NAME: Dftv.(- <br /> CLOSURE IN PLACE I MIXTURE: n) 6 VOLUME: <br /> Lill 23 048(7/88) DRAW SITE MAP ON REVERSE <br />