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SJLHD - UNDER UND TANK CLOSURE/ABANDONMENT INSPECTION <br /> (SHADED AREA BE FILLED IN FOR THE FIR& TANK ONLY) <br /> o Of c� aY r5f/ j <br /> G OWNER 'NAME OWNER PHONE # I{ <br /> E <br /> N CONTRACTOR CON. PHONE# <br /> E FIRE PERMIT # <br /> R SJLHD PERMIT # EPA # <br /> A <br /> L — <br /> INSPECTOR DATE TANK # 39 - J_,_[_L <br /> R RINSED p/N) ME(H D RINSE AMOUNT <br /> I <br /> N RINSATE DISPOSAL SITE <br /> S <br /> E MANIFEST # -OR- OTHER <br /> V VAPORS PURGED (Y/N) METHOD AMOUNT USED <br /> A <br /> P L.E.L. READING AT REMOVAL (MUST BE < 20$) <br /> 0 <br /> T R COMMENTS Vo �CR/ 01 o �, <br /> A <br /> N TANK MATERIAL (STEEL, FIBERGLASS, OTHER) TANK SIZE 3 SQ <br /> K C � pQ� <br /> / 0 TANK CONDITION (GOOD, POOR, HOLES)Na kS b C� h YVLO 3-^vuj u S <br /> P N <br /> I S PIPE MATERIAL (STEEL, FIBERGLASS, OTHER) # FEET <br /> P T <br /> I PIPING CONDITION (GOOD, POOR, HOLES ) <br /> NSAMPLE # <br /> G DEPTH SOIL TYPE OBSERVATION <br /> T <br /> IA <br /> E K <br /> LS OF SOIL: <br /> D EXCAVATION SIZE: ajj X X YD <br /> S ' SAMPLE # <br /> I A DEPTH SOIL TYPE OBSERVATION <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 /> 1-01 OTHER SAMPLE: <br /> LABORATORY: SAMPLERS SAMPLERS NAME: <br /> CLOSURE IN PLACE MIXTURE: VOLUME: <br /> DRAW SITE MAP ON REVERSE <br />