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SJLHD - UNDER.0-OUND TANK CLOSURE/ABANDONMrNT INSPECTION <br /> (SHADED AREAS..;O BE FILLED IN FOR THE FIfil, TANK ONLY) } <br /> WANM <br /> G <br /> h <br /> G OWNER NAMEJosewg L5 OWNER PHONE # <br /> N CONTRACTOR -17tor CON. PHONE# <br /> E <br /> R SJLHD PERMIT # EPA FIRE PERMIT # /a 3 9 <br /> A <br /> L <br /> INSPECTOR SCS DATE ga TANK # 39 - Z 3 0 1 - <br /> R RINSED Me ME H D RINSE AMOUNT <br /> I <br /> N RINSATE DISPOSAL SITE <br /> S I <br /> E MANIFEST # "` "`" -OR- OTHER <br /> V VAPORS PURGEDN) METHOD AMOUNT US D <br /> A � -. <br /> P L.E.L. READING AT REMOVAL (MUST ( E < 20%) <br /> T R COMMENTS <br /> A, <br /> N TANK MATERIAL STEE , FIBERGLASS, OTHER) TANK SIZE D <br /> K C � <br /> O TANK CONDITION (GOOD, POOR, <br /> P N <br /> I S PIPE MATERIAL 4STEEL FIBERGLASS, OTHER) FEET <br /> P T <br /> I PIPING CONDITION (GOOD, 00 , HOLES) <br /> N <br /> G DEPTH SOIL TYPE OBSERVATION SAMPLE # <br /> T4,m Ze <br /> F A,. Gy, <br /> I N <br /> E K <br /> L <br /> D EXCAVATION SIZE: X X j 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 /> z <br /> O H DEPTH TO G.W. : FT SAMPLING METHOD <br /> N 2 <br /> 0 # OF HOURS SINCE DEWATERING: <br /> { OTHER SAMPLE: r ' <br /> LABORATORY: files FGA- SAMPLERS NAME: <br /> a CLOSURE I-N.`PLACE MIXTURE: VOLUME: <br /> DRAW'SI TE -MRP ON 'REVERSE�y <br /> IX" <br /> t 1 <br />