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SJLHD - UNDE ROUND 'TANK CLOSURE/AltANDON'1' 1NS;IJECTIUN <br /> (S}1ADED ARE O BE FILLED IN FOR THE F*T TANK ONLY) <br /> it V <br /> zMMIll <br /> lAg <br /> EOWNER NAME OWNER PHONE <br /> E CONTRACTOR CON. PHONEq 'h.. �� �4 <br /> R ! <br /> SJL.Hq PERMIT I EPA I FIRE PERMIT 0 <br /> LRUM 11 ; li ffi <br /> IN PECTORZ4�,a DATE TANK 1 39 - f V/' - O <br /> R RINSED , (Y)N) METHOD �t6 RINSE AMOUNT z <br /> I <br /> N RINSATE DISPOSAL SITE UTL <br /> S <br /> E MANIFEST @ -OR- OTHER <br /> V VAPORS PURGED (Y N) METHOD AMOUNT USED <br /> A <br /> P L.E.L. READING AT REMOVAL (MUST BE C 20%) /I; <br /> 0 <br /> T R COMMENTS <br /> A <br /> N TANK MATERIAL� (STEEL FIBERGLASS, OTHER) TANK SIZE / 0c)dK C <br /> / 0 TANK CONDITION (GOOD,POOR' HOLES) <br /> P N - <br /> „I S PIPE MATERIAL (STEEL, FIBERGLASS, OTHER) Y FEET <br /> P T // <br /> I PIPING CONDITION (GOOD, POOR; HOLES) <br /> N <br /> G DEPTH SOIL TYPE OBSERVATION SAMPLE Y <br /> F A <br /> I N <br /> E K <br /> L <br /> D EXCAVATION SIZE: X X YDS OF SOIL : <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 C.W. : FT SAMPLING METHOD <br /> N 2 <br /> 0 I OF HOURS SINCE DEWATERING: <br /> LaOTHER SAMPLE: <br /> l LABORATORY: SAMPLERS NAME: <br /> CLOSURE IN PLACE MIXTURE: VOLUME: <br /> DRAW SITE MAP ON REVERSE <br />