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SJLIID — UNDERGROUND TANK CLOSURWAWDONHENT I NsvEL Y`! UN <br />i(SHADED AREA TO BE FILLED IN FOR THE FIRST TANK ONLY) <br />.. it �a►21�u►Tt:ilh:,h`l�'i��:7.*�•��vl.+'.�*'�-.fv�r�'.ti�vlsI;f.:�►r:r:ar:,r.'l:y:l2r..f.......r......._._. _. _._. _. _._.-... - - <br />�J r OWNER NAME <br />E ` E OWNER PHONE N <br />fr 6.3 <br />N CONTRACTOR CON. PHONEN- <br />E 2 0� _ c- <br />it SJLHD PERMIT I EPA I FIRE PERMIT N <br />INSPECTOR, -Q 'p BATE TANK N 39 -- /Z 2L <br />R RINSED METHOD - RINSE AMOUNT, <br />� ,✓sem '�..f'` <br />SRINSATE DISPOSAL SITE. .� <br />E MANIST 1 --OR- OTHER <br />V VAPORS PURGED N) METHOD AMOUNT USED <br />.A , r. <br />.P L.E.L. READING AT REMOVAL (MUST BE { 20%) <br />a �l <br />T R COMMENTS <br />A <br />N TANK MATERIAL TEED FIBERGLASS# OTHECty TANK SIZE <br />K C <br />/ 0 TANK CONDITION (G`11OOD, 'POO , HOLES) <br />P N <br />I s PIPE MATERIAL STEEL FIBERGLASSO OTFIER) N FEET <br />'P T <br />I PIPING CONDITION (GOOD P OR) HOLES) <br />N <br />G DEPTH SOIL TYPE OBSERVATION <br />T <br />F A e O v c ! <br />I N <br />E K <br />L <br />SAMPLE I <br />D <br />9 . <br />EXCAVATION SIZE: X �' Jt <br />YDS OF SOIL : <br />I <br />�N <br />A <br />DEPTH SOIL TYPE OBSERVATION <br />M <br />P <br />SAMPLE I <br />S <br />p <br />I <br />! <br />P <br />L <br />P <br />A <br />Ei <br />E <br />C <br />N <br />j. <br />T <br />r <br />G <br />TRFNCH DIMENSION X X <br />YDS OF SOIL <br />0 <br />N <br />H <br />2 <br />DEPTH TO G.W.: FT SAMPLING METHOD <br />- <br />(�0 M OF HOURS SINCE DENATERING: <br />O OTHER SAMPLE: <br />LABORATORY:'�e�f SAMPLERS NAME: <br />CLOSURE IN PLACE MIXT RE <br />VOLUME: <br />