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SJLHD - UNDER -^OUND TANK CLOSURE/ABANDONMENT INSPECTION <br /> ^r (SHADED AREA BE FILLED IN FOR THE FI - TANK ONLY) <br /> G OWN AM <br /> E OWNER PHONE # <br /> aoy 33�f 37�/ <br /> N CONTRACTOR CON. PHONE# <br /> E <br /> R SJLHD PERMIT # EPA # -- FIRE PERMIT # - <br /> A <br /> L <br /> INSPECTOR DATE S ; TANK # 39 - I 70 <br /> R RINSED (Y N METHOD RINSE AMOUNT <br /> I <br /> N RINSATE DISPOSAL SITE <br /> S <br /> E MANIFEST # -OR- OTHER <br /> V VAPORS PURGED ON) METHOD AMOUNT USED <br /> A j <br /> P L.E.L. READING AT REMOVAL (ML4T BE < 20%) <br /> 0 <br /> T R COMMENTS kl L U <br /> A <br /> N TANK MATERIAL TEFL FIBERGLASS, OTHER) TANK SIZE�'X3 7 ,3oo <br /> K C <br /> / 0 TANK CONDITION (GOOD, OOR HOLES ) �J be�h. P �' ��� <br /> P N h <br /> I S PIPE MATERIAL STEE , FIBERGLASS, OTHER) # FEET <br /> P T <br /> I PIPING CONDITION (GOOD, POOR, HOLES ) u K <br /> N <br /> G DEPTH I SOIL TYPE OBSERVATION SAMPLE # <br /> T <br /> F A /D <br /> I N <br /> E K <br /> L p�� <br /> D EXCAVATION SIZE: &2L' X /O' �X YDS OF SOjL :, <br /> 07S - <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 SAMPLING METHOD <br /> N 2 <br /> 0 # OF HOURS SINCE DEWATERING: <br /> OTHER SAMPLE: <br /> LABORATORY: �u �j.� /� jep^ SAMPLERS NAME: <br /> CLOSURE IN PLACE MIXTURE: VOLUME: <br /> DRAW SITE MAP ON REVERSE <br />