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SJLHD - UNDER UND 'TANK SANK 1• 1NSPL••C'TlU14 <br /> (SHADED AREA 0 DE FILLED IN FOR THE FIE TANK ONLY) <br /> LIT-M � �lle�'.yl-l:tyi,� <br /> ( Qerrjj 'r �i �nc /6 "j•J Lozl-i`bY L4��i <br /> G OWNER NAME <br /> OWNER PHONE (?to ) <br /> N CONTRACTOR -7 <br /> CON. PHONEI <br /> E Oi <br /> R 1 SJLHD PERMIT I EPA lc,4CD0083n?, FIRE PERMIT I/'`�' <br /> A ' � y ' y <br /> L r��d�`�fi>� _ ����URf•. 1IJ C,���� '1'I•:1•II,UIt�It��C'f,�L'�[tC: <br /> INSPECTOR 10 DATE/ 5 93 TANK tl 39 <br /> R RINSED ( N) METHOD RINSE AMOUNT <br /> I 3 r � sL <br /> N RINSATE DISPOSAL SITE <br /> S i I <br /> L•' MANIFEST I -OR- OTHER <br /> FPOR <br /> VAPORS PURGED Y ) METHOD �, AMOUNT USED <br /> ys / <br /> L.E.L. READING AT REMOVAL (MUST DE < 20%)T COMMENTS <br /> N TANK MATERIAL STEEL FIBERGLASS, U'THER) TANK SIZE <br /> K C U D <br /> / 0 TANK CONDITION (COOD, if OOR, HOLES) <br /> P N <br /> I S PIPE MATERIAL STEEL, FIBERGLASS <br /> P T , OTHER) I FEET <br /> I PIPING CONDITION (GOOD, POOR HOLES) <br /> N <br /> G T DEPTH SOIL TYPE OBSERVATION SAMPLE I <br /> c <br /> F A n o., o __ <br /> I N o✓i's lora /o <br /> E K <br /> L <br /> D EXCAVATION SIZE: /Z X X YDS OF SOIL : <br /> S-. 5v <br /> I A DEPTH SOIL TYPE OBSERVATION <br /> N M P SAMPLE I <br /> S P I <br /> P L P <br /> E I E <br /> C N <br /> T G TRENCH DIMENSION <br /> I X X YDS OF SOIL <br /> 0 H DEPTH TO C.W. : ly/9 F- <br /> N 2 SAMPLING METHOD <br /> 0 I OF HOURS SINCE DEWATERING: <br /> 0 OTHER SAMPLE: �J <br /> LABORATORY: CO/r`1e I SAMPLERS NAME: //S`� <br /> CLOSURE IN PLACE MIXTURE: - VOLUME <br /> J? , ' DR 1J, SIT(•' M,4P ON C9VFl?Sf,' / / - <br />