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SJLHD - UNDF"GROUND 'TANK CLOSURE/Al(ANDO"MENT INSPECTION <br /> (SHADED AR`, TO BE FILLED IN FOR THE FAST TANK ONLY <br /> � � . . . W HE <br /> : <br /> G OWNER NAME CC"^f`<tOWNER PHONE # <br /> E ar � 2ol -FZ <br /> NCON.Wp^}ern M � CON. PHONE# Z <br /> E <br /> R SJLHD PERMIT # EPA # FIRE PERMIT # <br /> INSPECTOR c-+t"'Lt DATE /� TANK # 39 <br /> R RINSED ?N) METHOD ` RINSE AMOUNT.Zr <br /> I 24 <br /> N RINSATE DISPOSAL SITE <br /> S ver <br /> E MANIFEST # -OR- OTHER <br /> V VAPORS PURGED (Y N) METHOD of*' lC� AMOUNT USED D� <br /> A f- - <br /> P L.E.L. READING AT REMOVAL (MUST BE < 20%) iVa¢- <br /> O <br /> T R COMMENTS <br /> A <br /> N TANK MATERIAL STEEL FIBERGLASS, OTHER) TANK SIZE �$-o <br /> K C <br /> / 0 TANK CONDITION (GOOD, POOR HOLES) <br /> P N <br /> I S PIPE MATERIAL ((STEEL FIBERGLASS, OTHER) I # FEET <br /> P T <br /> I PIPING CONDITION ((GOOD POOR, HOLES) <br /> N <br /> G DEPTH SOIL TYPE OBSERVATION SAMPLE # <br /> T ' ohs evti° ra eN <br /> F A <br /> I N <br /> E K <br /> L <br /> D EXCAVATION SIZE: X X YDS OF SOIL: S <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 /> 0 <br /> H DEPTH TO G.W. : FT SAMPLING METHOD <br /> N 2 <br /> 0 # OF HOURS SINCE DEWATERING: <br /> ❑O OTHER SAMPLE: <br /> LABORATORY: J Oa-kr &6` SAMPLERS NAME:M�R..IjUH1l� MeS <br /> CLOSURE IN PLACE I MIXTURE: VOLUME: <br /> DRAW SITE MAP ON REVERSE <br /> Ell 2:1 04:1(7/88) <br />