Laserfiche WebLink
SJLHD - UNDF' 3RUUND TANK CLuSURF,/A$ANDO"ENT INSPECTIUN <br /> (SHADED AR.. TO HE FILLED IN FOR THE FAST TANK ONLY) <br /> 11 NUUT <br /> G < OWNER NAME OWNER PHONE V 20Q -83r -25'9'1 <br /> E e C <br /> N CONTRACTOR �, / CN PfPr CON. PHONEtl 4og_ yy -617--1 <br /> E �v <br /> R < SJLHD PERMIT Y EPA N FIRE PERMIT $ 6 -(5 Q• . . • <br /> Wit <br /> INSPECTOR DATE 2661A <br /> TANK Y 39 <br /> R RINSED ON) METHOD re 6"'. RINSE AMOUNT, <br /> - I <br /> N RINSATE DISPOSAL SITE /fie{ Ne Serv/ <br /> S <br /> E MANIFEST I -OR- OTHER <br /> V VAPORS PURGED (Y N) METHOD djr ire AMOUNT USED <br /> A <br /> P L.E.L. READING AT REMOVAL (MUST BE C 20%) ,u,4 <br /> O <br /> T R COMMENTS <br /> A <br /> N TANK MATERIAL (STEEL, IBERGLASS, OTHER) TANK SIZE QDlj <br /> K C <br /> / O TANK CONDITIO (GOOD, OOR, HOLES) A-,6 <br /> P N <br /> I S PIPE MATERIA (STEEL FIBERGLASS, OTHER) I FEET ,_ 6/ � <br /> P T <br /> IPIPING CONDITION C GOOD POOR, HOLES ) <br /> N <br /> G DEPTH SOIL TYPE OBSERVATION SAMPLE Y <br /> T , <br /> F A <br /> I N <br /> 16 4 c 5 <br /> E K <br /> L <br /> D EXCAVATION SIZE: X C X YDS OF SOIL: <br /> 3- <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 /> 0 H DEPTH TO G.W. : FT SAMPLING METHOD <br /> N 2 <br /> 0 I OF HOURS SINCE DEWATERING: <br /> OTHER SAMPLE: <br /> LABORATORY: er Gabs SAMPLERS NAME: rk <br /> CLOSURE IN PLACE MIXTURE: VOLUME: <br /> DRAW SITE MAP ON REVERSE <br /> Ell 2:1 04't(7/88) <br />