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SJLHD - UND ROUND TANK CLOSURL:;AltANDO NT INSPECTION <br /> (SHADED ARfWTO BE FILLED IN FOR THE F*'T TANK ONLY) <br /> G OWNER NAME OWNER PHONE H � ) 3o p 3 <br /> E COOZfj/J 77?,4a.E72s <br /> N CONTRACTOR CON. PHONE# <br /> E W[s �2ni77Ppee�nut <br /> R < SJLHD MIT Y E A C:OGu! o FIRE PERMIT H 9 3/ <br /> Y <br /> L . . . .: ` <br /> INSPECTOR �, DATE TANK 1 39 - a37 `T - O.;z_ <br /> R RINSED qqN) METHOD _ RINSE <br /> I <br /> N RINSATE DISPOSAL SITE iQe [ c� <br /> S <br /> E MANIFEST @ -OR- OTHER <br /> V VAPORS PURGEDY N) METHODO AMOUNT USED <br /> A <br /> P L.E.L. READING AT REMOVAL (MUST BE < 208) <br /> 0 <br /> T R COMMENTS <br /> N TANK MATERIAL STEEL, FIBERGLASS, OTHER) TANK SIZE l0 Od D <br /> K C <br /> / 0 TANK CONDITIONOOD POOR, HOLES) <br /> P N <br /> I S PIPE MATERIAL ( T EL, FIBERGLASS, OTHER) Y FEET <br /> P T <br /> I PIPING CONDITION (GOOD, (jOOR HOLES ) <br /> N <br /> G DEPTH SOIL TYPE OBSERVATION SAMPLE Y <br /> T _ <br /> F A IvAg <br /> I N {� n irrr <br /> E K <br /> L <br /> D EXCAVATION SIZE: /3 X 3fX a YDS OF SOIL: 5-0 -(06 <br /> s- <br /> I A DEPTH SOIL TYPE OBSERVATION SAMPLE @ <br /> N M P <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 G.W. : FT SAMPLING METHOD <br /> N 2 <br /> 0 # -OF HOURS SINCE DEWATERING: <br /> ❑O OTHER SAMPLE: <br /> LABORATORY: SAMPLERS AME: <br /> ems f"`✓ ee ni <br /> .. � `�LG'L!!nl�Gc��. �f�bs �Fe_c 7G7Tbb - <br /> CLOSURE IN PLACE I MIXTURE: VOLUME: <br /> DRAW SITE MAP ON REVERSE <br /> E?II 2:1 043(7/88) <br />