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SJLHD - UNDER'r DUND TANK CLOSURE/ABANDONV-IT INSPECTION <br /> (SHADED AREA"TKO BE FILLED IN FOR THE FIR4wf TANK ONLY) <br /> : <br /> : <br /> G OWNER NAME OWNER PHONE # <br /> E <br /> N CONTRACTOR CON. PHONE# <br /> E <br /> R SJLHD PERMIT # EPA # FIRE PERMIT # <br /> A <br /> L <br /> ' INSPECTOR :=DATE TANK # 39 - � - � �-- <br /> R RINSED (Y N� METHOD,' RINSE AMOUNT <br /> k <br /> N RINSATE DISPOSAL SITE _ } <br /> S <br /> E MANIFEST #LLJI <br /> -OR- OTHER Y <br /> V VAPORS PURGEDN) METHOD AMOUNT ED <br /> A ' ov _ <br /> P L.E.L. READING AT REMOVAL (MUST BW < 20%) <br /> O <br /> T R COMMENTS. Jam„ C. L. <br /> W44 og&lte— <br /> A <br /> N TANK MATERIAL (STEEL, FIBERGLASS, OTHER) TANK SIZE a,50 <br /> K C <br /> / 0 TANK CONDITION (GOOD, POOR, HOLES). V . <br /> P N <br /> I S PIPE MATERIAL (STEEL, FIBERGLASS, OTHER) # FEET <br /> P T <br /> I PIPING CONDITION (GOOD, POOR, HOLES) <br /> N <br /> G DEPTH SOIL TYPE OBSERVATION SAMPLE # <br /> T <br /> F A c;m <br /> I N <br /> E K ' <br /> L <br /> D EXCAVATION SIZE: X X Y S OF SOIL: . <br /> Ss <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 T <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 /> OTHER SAMPLE: <br /> LABORATORY: �w(14� <br /> 6, SAMPLERS NAME <br /> CLOSURE IN PLACE MIXTURE: VOLUME: <br /> DRAW SITE MAP ON REVERSE <br />