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SJLHD — U GROUND TANI 4*UCK COLLINS <br /> AFA `PO NE FILA(SHADEDKETfNG REPRESENTATIVE <br /> y <br /> MARKETING 4ti ��� 1415 ' <br /> G OWNER NAME Z r / � HARKEN MARKETING COMPANY OF CALIFORNIA <br /> 4150 LATHAM STREET <br /> SUITE � � 35 � <br /> N t CONTRACTOR r ��� } R V <br /> ERSIDE,CALIFORNIA 92501M <br /> (714)369-7050 FAX(714)369-7014 <br /> R SJLHD PERMIT M <br /> � tow. . . . . . . <br /> INSPECTOR �? , DATE TANK 1 39 — / 2.S �� <br /> -�-�� r� Asf.t <br /> R RINSED ) METHOD 'S. <br /> RINSE AMOUNT <br /> N RINSATE DISPOSAL SITE f �� <br /> E MANIFEST Y —OR— OTHER <br /> V VAPORS PURGED " td) METHOD AMOUNT USED <br /> A �t-c_ ./ U /hs <br /> . p L.E.L. READING AT REMOVAL (MUST HE < 20%) <br /> 0 <br /> T R COMMENTS <br /> A <br /> NF.0 <br /> TANK MATERIAL STEEL,} FIBERGLASS, OTHER) TANK SIZE <br /> K <br /> TANK CONDITION GOOD,) POOR, HOLES) <br /> P <br /> I S PIPE MATERIAL STEED, FIBERGLASS, OTHER) Y FEET <br /> *`P T <br /> I PIPING CONDITION (GOOD, OOR,) HOLES) <br /> N <br /> G D SOIL TYPE OBSERVATIONT SAMPLE <br /> F A <br /> I N 4 � <br /> K r <br /> L <br /> D EXCAVATION SIZE: X X �/;� '' <br /> 3- YDS OF SOIL: 30 <br /> I A DEPTH SOIL TYPE OBSERVATION <br /> N M P SAMPLE p <br /> S P I <br /> P L P <br /> E I E <br /> C N <br /> T G TRENCH DIMENSION <br /> I — X `� X YDS OF SOIL <br /> _ <br /> 0 H DEPTH TO G.W. : "— <br /> N 2 —` FT HOD <br /> .Sails lnvestlBaPians <br /> 0 1 of ROUP nd Materials'TO'"n$ <br /> Soils a essmen[s <br /> .Environmentat Ass <br /> 0 OTHER SAM <br /> _ ��S�ti�IC,, <br /> „i LhsURATOPtY: � C[1�S�lll�'A��.� IE: Ca1s�s sPeel- <br /> CLOSURE IN PLACE <br /> M71-3-5—MER <br /> 209-781-0571 <br /> 1`11 2:1 01:1(7/88) Fortervi ' <br /> 0 209llelle, CCa. <br /> 101 W. p lorta�Tulare, <br /> Ca. <br />