Laserfiche WebLink
u ;RGXUUNU 'TANK CLOSURSIABAtiftMENT INSPECTION <br /> (SHADED A TO BE FILLED IN 11 FOR THEW RST TANK ONLY) <br /> G OWNER NAME SK Silt L_ OWNER PHONE # <br /> E <br /> N : CONTRACTOR <br /> E OWiJ6-f-- CON. PHONE# <br /> R < SJLHD PERMIT # EPA #CAGDOOi ov FIRE PERMIT # T�� H4ee p, <br /> A ^ <br /> INSPECTOR ��IEY DATE �2 B� TANK tl 39 - 11P_31 <br /> R RINSED (Y� METHOD <br /> I RINSE AMOUNT— <br /> N RINSATE DISPOSAL SITE <br /> S <br /> E MANIFEST # — -OR- OTHER <br /> V VAPORS PURGED (Y METHOD AAMOUNT USED <br /> A <br /> P L.E.L. READING AT REMOVAL (MUST BE < 20%) <br /> 0 <br /> T R COMMENTS <br /> STEEL itw�n , U'Ptian I rANn 51"LE <br /> K C L <br /> / O TANK CONDITION OOD POOR, HOLES) itJO AlOLE5 Ev'pewT-) [c22n5/c/o <br /> P N <br /> I S PIPE MATERIAL (STEEL, FIBERGLASS, OTHER) # FEET <br /> P T <br /> I PIPING CONDITION (GOOD, POOR, HOLES) <br /> N <br /> G DEPTH SOIL TYPE OBSERVATION <br /> T SAMPLE # <br /> F A L A) <br /> I N <br /> E K <br /> L <br /> D EXCAVATION SIZE: X <br /> S_ X � YDS OF SOIL: , <br /> I A DEPTH SOIL TYPE OBSERVATION <br /> N M P SAMPLE # <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. : nDnFT SAMPLING METHOD <br /> N 2 <br /> 0 # OF HOURS SINCE DEWATERING: <br /> OTHER SAMPLE: <br /> LABORATORY: �&. / )f1 rE2 Lq?� SAMPLERS NAME: — <br /> L <br /> CLOSURE IN PLACE MIXTURE: VOLUME- <br /> Ell 23 043(7/8$) DRAW SITE HAP ON REVERSE <br />