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- OHS-EHD - UNLJOGROUND TANK CLOSURE/ABANDWENT INSPECTION <br /> (SHADED AREA TO BE FILLED IN FOR THE FIRST TANK ONLY) <br /> OWNER NAME PJJ n� ! Sul a►fuiNn <br /> E OWNER PHONE # Gy- <br /> N CONTRACTOR Zeo 7 `a <br /> E <T<Yvh _ CON. PHONE# �/_ <br /> R c SJLH PERMIT # EPA # <br /> A FIRE PERMIT # <br /> L <br /> INSPECTOR C'Z DATE � ,� <br /> C-- [�-c��y TANK # 39 - G/ _ <br /> R RINSEDN> METHOD <br /> 'mle RINSE AMOUNT <br /> N RINSATE DISPOSAL SITE LL11 <br /> S ./hc• 41 7/-v <br /> E MANIFEST # <br /> _ -DR- OTHER <br /> V VAPORS PURGED N) METHOD <br /> A 6 " !ke- AMOUNT USED <br /> P L. E. L. READING AT REMOVAL (MUST BE ( 20%) <br /> 0 <br /> T R COMMENTS <br /> A �f Glatt �r cs/i !� lsr. <br /> N TANK MATERIAL TEEL/ FIBERGLASS, OTHER) TANK SIZE <br /> ! 0 <br /> N TANK CONDITION GOOD POOR, HOLES) <br /> mor <be <br /> S©~ -ro"vs'v- <br /> = S PIPE MATERIAL TEElf FIBERGLASS, OTHER) # FEET �s , <br /> P T <br /> I PIPING CONDITION <br /> N O y POOR, HOLES) <br /> G DEPTH SOIL TYPE OBSERVATION <br /> F T a SAMPLE # <br /> A <br /> L <br /> D EXCAVATION SIZE: /' <br /> S X � X !Q(z," YDS OF SOIL: 30 f3 <br /> I A DEPTH SO TYPE OBSERVATION <br /> N M P SAMPLE # <br /> S P I <br /> P L P <br /> E I E <br /> C N <br /> IG TRENCH DIME ON <br /> - SDIL <br /> 0 H DEPTH TO G. W. : �n <br /> N — FT SAMPLING METHOD <br /> 0 # OF HOURS SINCE DEWATERING: <br /> 0 OTHER SAMPLE: <br /> LABORATORY -7�p"I `(gam„�, �G SAMPLERS NAME: <br /> CLOSURE IN PLACE MIXTURE: <br /> VOLUME: <br /> EH 23043 ( 10/89) DRAW SITE MAP <br /> ON REVERSE <br />