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SJLHD - UIJDERGROUND 'TANK CLOSURE/AliAND MEN'1' INSPECI'!UN <br /> (SHADED A TO BE FILLED IN FOR THE WST TANK ONLY) <br /> G OWNER NAME OWNER PHONE tl <br /> E nJ <br /> E ? CONTRACTOR / C �N Jnl�efl CON. PHONER ' <br /> 2O`� <br /> - y6 2000 <br /> R < SJLHD PERMIT tl <br /> EPA tl FIRE PERMIT tl Ue(l6 <br /> Lm a IT% <br /> y : <br /> INSPECTOR C DATE Ga - TANK tl 39 - <br /> R RINSED �N) METHOD -t--- <br /> I RINSE AMOUNT rC <br /> N RINSATE DISPOSAL SITE 5�1 II <br /> S Ck1M.a /$!N <br /> E MANIFEST tl -OR-j OTHER <br /> V VAPORS PURGED (Y N) METHOD <br /> A �� AMOUNT USED O/ <br /> P L.E.L. READING AT REMOVAL (MUST BE C 208) <br /> O c,G <br /> T R COMMENTS <br /> A <br /> N TANK MATERIA (STEEL FIBERGLAS,9, <br /> K TANK CONDITI OTHER) TANK SIZE 5(9C _ <br /> / 0 (GOOD POOR, HOLES) <br /> P N <br /> ` I S PIPE MATERIAL (STEE , FIBERGLASS, OTHER) tl FEET <br /> J P T <br /> I PIPING CONDITI (GOO POOR, HOLES) <br /> N <br /> GTDEPTH SOIL TYPE OBSERVATION <br /> SAMPLE tl <br /> F A 8 <br /> I N <br /> E K <br /> L <br /> D EXCAVATION SIZE: X X YDS OF SOIL: <br /> S ' <br /> I A DEPTH SOIL TYPE OBSERVATION <br /> N M P SAMPLE tl <br /> S P I <br /> P L P <br /> E I E <br /> C N <br /> T G TRENCH DIMENSION X X <br /> I YDS OF SOIL <br /> 0 H DEPTH TO G.W. : FT <br /> N 2 <br /> SAMPLING METHOD <br /> 0 tl OF HOURS SINCE DEWATERING: <br /> 7 OTHER SAMPLE: <br /> LABORATORY: SAMPLERS NAME: <br /> CLOSURE IN PLACE MIXTURE: VOLUME: <br /> DRAW SITE MAP ON REVERSE <br />