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SJLHD - UNDlr�tOUND TANK CLOSURL•'/AIIANDO NT INSPLt VIUN <br /> (SHADED ARES. TO BE FILLED IN FOR TUE F T TANK ONLY) <br /> G OWNER NAME IIN�DNGE' OWNER PHONE tll�_� LJ/�- ���/ <br /> E <br /> N CONTRACTOR SF�nG CON. PHONE# ' � <br /> R < SJLHD PERMIT tl EPA I C-e',2_5 (FIRE PERMIT tl <br /> Lam _ . . <br /> INSPECTOR/y DATE TANK # 39 <br /> R RINSED (Y/N) a METHOD RINSE AMOUNT <br /> - I <br /> N RINSATE DISPOSAL SITE <br /> S <br /> E MANIFEST # -OR- OTHER <br /> V VAPORS PURGED (Y/N) METHOD J� AMOUNT USED <br /> A //�Iei /S ei <br /> P L.E.G. READING AT REMOVAL (MUST BE < 20%) <br /> 0 <br /> T R COMMENTS <br /> A <br /> N TANK MATERIAL ( STE L, FIBERGLASS, OTHER) TANK SIZE4�66 sL <br /> K C <br /> / 0 TANK CONDITION ' GOOD, POOR, HOLES) <br /> P N <br /> l I S PIPE MATERIA ' (STEEL, FIBERGLASS, OTHER) # FEET ? , <br /> J P T <br /> I PIPING CONDITIO GOOD, POOR, HOLES) )� <br /> VT <br /> N <br /> G DEPTH SOIL TYPE OBSERVATION SAMPLE # <br /> T <br /> F A /IM G v v✓f 2 L e%' <br /> I N <br /> E K <br /> L S7 <br /> D EXCAVATION SIZE: X X YDS OF SOIL: <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 /> O H DEPTH TO C.W. : FT SAMPLING METHOD <br /> N 2 <br /> 0 # OF HOURS SINCE DEWATERING: <br /> ❑O OTHER SAMPLE: <br /> LABORATORY: Ub SAMPLERS NAMt <br /> CLOSURE IN PLACE I MIXTURE: VOLUME: <br /> DRAW SITE, MAP ON REVERSE <br /> Ell 2:1 04:1(7/88) <br />