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SJLHD - UNDERGROUND TANK CLOSURE/A14ANDONHENT INSPECTION <br /> (SHADED AREA TO BE FILLED IN FOR THE FIRST TANK ONLY) <br /> G OWNER NAME OWNER PHONE I ; <br /> E C/r moo. �r� ze �5 - ';� 70 - - <br /> N CO(7TRACTOR ��n7C-O CON . PIIONEI 5� . <br /> E ' <br /> RSJLFID PERMIT I EPA I(74(OU05_4919y FIRE PERMIT I <br /> L7 ' <br /> INSPECTOR � G DATE TANK I 39 - <br /> R T <br /> RINSED (ijN) METHOD ��G�,/e RINSE AMOUNS SSuV <br /> I <br /> N RINSATE DISPOSAL SITE <br /> S <br /> E MANIFEST I _ -OR- OTHER <br /> V VAPORS PURGED (�IN) METHOD AMOUNT USED�� <br /> A <br /> P L.E.L. READING AT REMOVAL (MUST BE < 201) <br /> 0 <br /> T R COMMENTS <br /> A <br /> N TANK MATERIAL STEEL,; FIBERGLASSI OTHER) TANK SIZE `. <br /> K C <br /> / 0 TANK CONDITION (GOODSOR ; HOLFS ) <br /> P N <br /> I S PIPE MATERIAL ( Eij FIBERGLASSO OTHER) I FEET <br /> P T <br /> I PIPING CONDITION (GOOD, POOR HOLES ) <br /> N <br /> G DEPTH SOIL TYPE OBSERVATION SAMPLE I <br /> T <br /> F A L h <br /> I N - /f <br /> E K <br /> L <br /> D EXCAVATION SIZE: ? X _L, ' X IlYDS OF SOIL : <br /> N H P DEPTH SOIL TYPE OBSERVATION n �,K7 Sa ,u j _j ' <br /> ,SAMPLE I <br /> S P I <br /> P L P <br /> E I E <br /> C N <br /> T G TRENCH DIMENSION i X :>' YDS OF SOIL <br /> I <br /> 0 H DEPTH TO C.N. : FT SAMPLING METHOD <br /> N 2 /3'r'55 1 /,�- <br /> 0 I OF (TOURS SINCE DEWATERINC: <br /> FoloTHER SAHPLE6 <br /> LABORATORY: vu ,=� fi Lai SAMPLERS NAME: <br /> CLOSURE IN PLACE MIXTURE: VOLUME: <br />