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SJLHD - UNDEF.'ROUND 'TANK CLOSURE/AUNDON' 1' INSPECTION <br /> (SHADED ARE.*O BE FILLED IN FOR THE FI0P TANK ONLY) <br /> 11 Ulp 1=4 <br /> oG ; OWNER NAME /� OWNER PHONE N Croy c,f/ 76 <br /> E <br /> N 4 CONTRACTOR A. (� CON. PHONE <br /> N � V( <br /> E <br /> R < SJLHD PERMIT N EP VOP 9 FIRE PERMIT 0/36, <br /> mull <br /> INSPECTOR ' �,L4 DATE Z TANK @ 39 - <br /> R RINSED YON) METHOD p- RINSE AMOUNT <br /> I a� <br /> N RINSATE DISPOSAL SITE ��C2 <br /> S <br /> E MANIFEST I -OR- OTHER <br /> V VAPORS PURGED (X N) METHOD CEJ ii AMOUNT USED S <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 TSTEEL FIBERGLASS, OTHER) TANK SIZE <br /> K C <br /> / 0 TANK CONDITION�(G00 , POOR, HOLES ) <br /> P N <br /> I S PIPE MATERIAL (!!�EL FIBERGLASS, OTHER) N FEET <br /> P T /� <br /> I PIPING CONDITION (G00 , POOR, HOLES) <br /> N <br /> G DEPTH SOIL TYPE OBSERVATION SAMPLE N <br /> T <br /> F A c f ✓ P <br /> I N � <br /> E K <br /> L <br /> D EXCAVATION SIZE: X X E YDS OF SOIL- <br /> S- <br /> I A DEPTH SOIL TYPE OBSERVATION SAMPLE N <br /> N M P /V <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 C.W. : FT SAMPLING METHOD <br /> N 2 <br /> 0 N OF HOURS SINCE DEWATERING: <br /> aOTHER SAMPLE: �n _ <br /> LABORATORY:/ SAMPLERS NAME: <br /> ­Ul CLOSURE IN PLACE I MIXTURE: VOLUME: <br /> DRAW SITE MAP ON REVERSE <br /> 1;11 2:1 013(7/88) <br />