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SJLHD - UNDERGROUND 'TANK CLOSURE/AUNDONMEN'T 1NSL'L•'CTJUN <br /> (SHADED AREA TO BE FILLED IN FOR THE FIRST TANK ONLY) <br /> T <br /> G r OWNER NAME <br /> E OWNER PHONE 1 <br /> N < CONTRACTOR <br /> E CON. PHONEp <br /> GE0 � C <br /> R ! SJLHD PERMIT Y <br /> LFIRE : y.EPA 1 PER T p <br /> — Hal. <br /> INSPECTOR _ _ _ DATE /, ���y� TANK 1 39 <br /> R RINSED (Y/NT , METHOD <br /> I RINSE AMOUNT <br /> N RINSATE DISPOSAL SITE <br /> S <br /> E MANIFEST 1 OTHER <br /> V VAPORS PURGED (Y/N) METHOD <br /> A AMOUNT USED <br /> P L.E.L. READING AT REMOVAL (MUST BE < 20%) <br /> 0 <br /> T R COMMENTS <br /> A <br /> N TANK MATERIAL (STEEL, FIBERGL SS, OTHER) TANK SIZE d Ste? <br /> K C <br /> / 0 TANK CONDITION (GOOD, POOR, HOLES) <br /> P N <br /> I S PIPE MATERIAL (STEEL, FIBERGLASS, OTHER) 1 FEET <br /> P T <br /> I PIPING CONDITION (GOOD, POOR, HOLES ) <br /> N <br /> G DEPTH SOIL TYPE OBSERVATION <br /> T SAMPLE 1 <br /> F A i <br /> ,r«Pu Vii, <br /> I N rloll <br /> ' �. <br /> E K <br /> L <br /> D EXCAVATION SIZE: X X !/' YDS OF SOIL : S V" .? <br /> s: <br /> I A DEPTH SOIL TYPE OBSERVATION <br /> N M P SAMPLE 1 <br /> S P I <br /> P L P <br /> -- <br /> E I E <br /> C N <br /> T C TRENCH DIMENSION <br /> I __ X __ g YDS OF SOIL <br /> � <br /> 0 H DEPTH TO C.W. : <br /> N 2 FT SAMPLING METHOD <br /> �i/Gss Lt.l:• <br /> 0 1 OF 14OURS SINCE DEWATERING: <br /> 1 07 OTHER SAMPLE: <br /> LABORATORY: SAMPLERS NAME: S <br /> c <br /> CLOSURE IN PLACE MIXTURE:' VOLUME <br /> nnAv o. — — -- - -- <br />