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SJLHD - UNDER UND TANK CLOSURE/ABANDONMENT INSPECTION <br /> (SHADED AREA BE FILLED IN FOR THE FI TANK ONLY) <br /> G < OWNER NAME OWNER PHONE # <br /> E <br /> N : CONTRACTOR CON. PHONE# <br /> E ' <br /> R SJLHD PERMIT # EPA # FIRE PERMIT # <br /> AgollffWt <br /> L — <br /> INSPECTOR DATE TANK # 39 /fzW 3 � <br /> R RINSED Y N) METHOD RINSE AMOUNT <br /> I w <br /> N RINSATE DISPOSAL SITE <br /> S <br /> E MANIFEST # -OR- OTHER <br /> V VAPORS PURGED 6Q N) MET D AMOUN ED <br /> A <br /> P L.E.L. READING AT REMOVAL (MUST BE < 20%) <br /> 0 <br /> T R COMMENTS <br /> A <br /> N TANK MATERIAL STEEL FIBERGLASS, OTHER) TANK SIZE Q <br /> K C <br /> / 0 TANK CONDITION GOOD, .POOR, HOLES )Z�6'�Au 5-f-- V, b I2 <br /> P N <br /> I S PIPE MATERIAL TEE , FIBERGLASS, OTHER) # FEET <br /> P T <br /> I PIPING CONDITION (GOOD, OOR) HOLES ) h <br /> N <br /> G DEPTH SOIL TYPE OBSERVATION SAMPLE # <br /> T e� <br /> F A <br /> I N D A) p <br /> E K <br /> L <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 /> 0H DEPTH TO G.W. : FT SAMPLING METHOD <br /> N 2 <br /> 0 # OF HOURS SINCE DEWATERING: <br /> OTHER SAMPLE: <br /> LABORATORY: W'r h j vi SAMPLERS NAME: <br /> CLOSURE IN PLACE MIXTURE: VOLUME: <br /> DRAW SITE MAP ON REVERSE <br />