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SJLND — UNDERGROUND TANK CLOSURE/AI(AND014IINN'1- 1NSPECTION <br /> (SHADED AREA TO DE FILLED IN FOR THE FIRST TANK ONLY) <br /> WHO <br /> G + OWNER NAME <br /> OWNER PHONE I <br /> E � �i' � f- <br /> N CONTRACTOR CON. PIIONEN <br /> F_ 7/ r i/ <br /> R SJLHD-PERMIT N EPA:, <br /> FIRE PERMIT N <br /> Ly. . <br /> INSPECTOR DATE <br /> � TANK 1 39 <br /> R RINSED (VN) METHOD <br /> I USE AMOUNT <br /> N RINSATE DISPOSAL SITE <br /> S <br /> E MANIFRST I -OR- OTHER <br /> V VAPORS PURGED (ox/N) METHOD - <br /> A lce AMOUNT USED <br /> P L.E.L. READING AT REMOVAL (MUST BE C 20%) <br /> 0 <br /> T R COMMENTS - <br /> A h • �i�ee7 ��� f c,.< s c <br /> N TANK MATERIAL STEE <br /> K C FIBERGLASS, OTHER) TANK SIZE <br /> - <br /> / O TANK CONDITION (GOOD, OOR, HOLES) <br /> P N <br /> I S PIPE MATERIALSTEEL <br /> P T FIBERGLASS, OTHER ) N FEET <br /> I PIPING CONDITION (GOOD POOR" 110LES) <br /> N <br /> C DEPTH SOIL TYPE OBSERVATION <br /> T SAMPLE N <br /> F <br /> I N �j- <br /> E K <br /> L <br /> D EXCAVATION SIZE: X s X <br /> S; YDS OF SOIL : X06 Y� 3 <br /> I A DEPTH SOIL TYPE OBSERVATION <br /> N H p SAMPLE N <br /> S P I <br /> P L P <br /> E I E <br /> C N <br /> TG TRF�NCH DIMENSION X X YDS OF SOIL <br /> 0 H DEPTH TO C.N. : <br /> N 2 FT SAMPLING METHOD <br /> 0 1 OF HOURS SINCE DEWATERING: <br /> OTHER SAMPLE: <br /> LABORATORY: - <br /> c �.r.._ SAMPLERS NAME: <br /> CLOSURE IN PLACE MIXTURE:• -1 <br /> VOLUME: <br />