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SJLHD - UNDE 'tOUND 'TANK CLOSURE/AIJANDO 'NT I N:;VL :'1'1 UN <br /> (SHADED AREMIPTO BE FILLED IN FOR TUE FIWT TANK ONLY) <br /> G OWNER NAME �' _ OWNER PHONE # <br /> N CONTRACTOR CON. PHONE M � <br /> E 4 <br /> R t SJLHD PERMIT I! EPA # FIRE PERMIT # <br /> L � � <br /> INSPECTOR, /G/ DATE / TANK # 39 <br /> R RINSED (Y/N) METHOD RINSE AMOUNT <br /> I <br /> N RINSATE DISPOSAL SITE <br /> S <br /> E MANIFEST IF -OR- OTHER <br /> -F // <br /> V VAPORS PURGED (Y/N) METHOD AMOUNT USED/OF <br /> r,�E <br /> A <br /> P L.E.G. READING AT REMOVAL (MUST BE C 20%) <br /> 0 <br /> T R COMMENTS <br /> A r NC e <br /> N TANK MATERIALrSTEEL FIBERGLASS, OTHER) TANK SIZE / d <br /> K C <br /> l 0 TANK CONDITION (GOOD POOR, HOLES) <br /> P N <br /> I S PIPE M1TERIAL STEEL FIBERGLASS, OTHER) I FEET <br /> P T <br /> I PIPING CONDITION (GOOD, POOR, HOLES) <br /> N <br /> G DEPTH SOIL TYPE OBSERVATION SAMPLE # <br /> T <br /> F A <br /> I N <br /> E K <br /> L <br /> D EXCAVATION SIZE: X X YDS OF SOIL: <br /> 3- <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 /> Foll <br /> 0 1 OF HOURS SINCE DEWATERING: <br /> OTHER SAMPLE: <br /> LABORATORY: SAMPLERS NAME <br /> i <br /> CLOSURE IN PLACE MIXTURE: VOLUME: <br /> DRAW SITE ,MAP ON REVERSE <br /> EH 2:1 043(7/88) <br />