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U.v Lc:rt GRUUlAb 1'ALIA CLUSUh E/AAANDONMENT IN6PECTION <br /> (SHADED ARI TO BE FILLED IN FOR THE F ST TANK ONLY) <br /> .., <br /> G OWNER NAME OWNER PHONE # <br /> E <br /> N < CONTRACTOR CON. PHONE# <br /> E <br /> R < SJLHD PERMIT # EPA # FIRE PERMIT # <br /> A <br /> L <br /> INSPECTOR ." t DATEJ��� TANK # 39 <br /> R RINSED Y�N) METHOD RINSE AMOUNT - <br /> I <br /> N RINSATE DISPOSAL SITE'`; ,i <br /> S <br /> E MANIFEST # -OR- OTHER <br /> V VAPORS PURGED ( ./N) METHO! AMOUNT USED/ , <br /> A <br /> P L.E.L. READING AT REMOVAL (MUST BE < 20%) <br /> 0 <br /> T R COMMENTS <br /> A <br /> N TANK MATERIAL.( (STEEL, FIBERGLASS, OTHER) TANK SIZE 4 �^ <br /> K C _ <br /> / 0 TANK CONDITION (GOOD, 00 HOLES) <br /> P N <br /> I S PIPE MATERIAL ( TuF EEb FIBERGLASS, OTHER) # FEETL^Ute a� C <br /> P T <br /> I PIPING CONDITION (GOOD, OR, HOLES) <br /> N <br /> G DEPTH SOIL TYPE OBSERVATION SAMPLE # <br /> T <br /> F A <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 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 SAHPLING METHOD <br /> N 2 <br /> 0 # OF HOURS SINCE DEWATERING: <br /> 0 OTHER SAMPLE: <br /> L HFLABORATORY: SAMPLERS NAME: <br /> CLOSURE IN PLACE MIXTURE: VOLUME: <br /> DRAW SITE MAP ON REVERSE <br />