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"i,Ru - UNC GROUND TANK CLOSURE/AUNDI' MENT INSPECTION <br />(SHADED ARBA TO BE FILLED IN FOR THE .,. ST TANK ONLY) <br />TA/Jh Md'rcp i.-i<<C4-r,I h orn .-1. <br />h <br />C <br />..-.....,—� . , u. ,t.... n.,.," vl,acr_;� id44C. J7. lJ,. <br />P <br />N <br />G7 '. <br />I <br />P <br />S <br />T <br />E, <br />< OWNER NAME L <br />OWNER PHONE # r <br />E <br />? CONTRACTOR <br />CON. PHONE# aO a 0 <br />R <br />< SJLHD PERMIT # EPA N <br />FIRE PERMIT # /-C b �_" <br />L <br />F <br />.................... <br />A <br />INSPECTOR L1% 1�1 DATE /LD /� <br />TANK # 39 - 3 S - <br />I <br />E <br />I RINSED �Y N) METHOD ��� <br />RINSE AMOUNT <br />N RINSATE DISPOSAL SITE <br />S <br />L <br />E MANIFEST # <br />-OR- OTHER <br />V <br />A <br />VAPORS PURGED (Y/N) <br />METHOD / <br />u <br />� <br />AMOUNT USED <br />zZ�D <br />I <br />N <br />PO <br />L.E.L. READING AT REMOVAL (MUST <br />E < 20%) <br />div <br />T <br />A-- <br />R <br />COMMENTS <br />r--- -- �.--- - --- <br />TA/Jh Md'rcp i.-i<<C4-r,I h orn .-1. <br />h <br />C <br />..-.....,—� . , u. ,t.... n.,.," vl,acr_;� id44C. J7. lJ,. <br />P <br />N <br />TANK CONDITION (GOOD, POOR, HOLES) SfP 7 <br />LCe J <br />I <br />P <br />S <br />T <br />PIPE MATERIAL T�.', FIBERGLASS, OTHER) <br /># FEET <br />I <br />N <br />PIPING CONDITION \ D POOR, HOLES) <br />G <br />T <br />DEPTH SOIL TYPE OBSERVATION <br />SAMPLE # <br />F <br />A <br />g � <br />I <br />E <br />N <br />K <br />- <br />L <br />D <br />s- <br />EXCAVATION SIZE: X 7 X - <br />YDS OF SOIL: <br />I <br />N <br />A <br />M <br />P <br />DEPTH SOIL TYPE OBSERVATION SAMPLE # <br />S <br />P <br />I <br />P <br />L <br />P <br />E <br />I <br />E <br />C <br />N <br />T <br />I <br />G <br />TRENCH DIMENSION XX — <br />YDS OF SOIL <br />0 <br />N <br />H <br />2 <br />DEPTH TO G.W.: FT <br />SAMPLING METHOD <br />0 <br /># OF HOURS SINCE DEWATERING: <br />aOTHER <br />SAMPLE: <br />LABORATORY: SAMPLERS NAME: <br />CLOSURE IN PLACE <br />I MIXTURE: <br />VOLUME: <br />);II 23 0,13(7/88)DRAW SITE MAP ON REVERSE <br />