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SJLHD — UNDER WUND 'TANK CLOSURE/AIAANDON 1' INSPEC IUN <br /> (SHADED AREA BE FILLED IN FOR THE FIA TANK ONLY) <br /> - 10 <br /> G OWNER 'NAME S/ OWNER PHONE I/Lq)�i�. 3E�7 <br /> E 1 <br /> N < CONTRACTOR �� CON. PHONE <br /> R SJLHD PERMIT d EPA 9 FIRE PERMIT <br /> L <br /> INSPECTOR/ DATE 2 TANK d 39 — <br /> R RINSED /N) METHOD RINSE AMOUNT/,S— <br /> I <br /> N RINSATE DISPOSAL SITE N� C <br /> S <br /> E MANIFEST @ —OR— OTHER <br /> V VAPORS PURGED /N) METHOD/ AMOUNT USED,f <br /> A L <br /> ZI- <br /> P L.E.L. READING AT REMOVAL (MUST BE ( 20%) <br /> 0 <br /> T R COMMENTS <br /> A �-- <br /> N TANK MATERIAL STE , FIBERGLASS, OTHER) TANK SIZE () <br /> K C <br /> / O TANK CONDITION (GOOD, P00 , HOLES ) <br /> P N <br /> „I S PIPE MATERIAL (STEEL, FIBERGLASS, OTHER) k FEET �//A <br /> P T <br /> I PIPING CONDITION (GOOD, POOR, HOLES) ^ <br /> N <br /> G DEPTH SOIL TYPE OBSERVATION SAMPLE R <br /> T ;113 Ce d✓ D lAI <br /> F A <br /> I N -- <br /> E K <br /> L <br /> D Hl EXCAVATION SIZE: X _ X YDS OF SOIL: <br /> 3: <br /> I A DEPTH SOIL TYPE OBSERVATION SAMPLE Y <br /> N M P <br /> S P I I N <br /> P L P <br /> E I E <br /> C N <br /> T G TRENCH DIMENSION �_ X 1_ X S I YDS OF SOIL <br /> I <br /> 0 N DEPTH TO C.W. : FT SAMPLING METHOD <br /> N 2 <br /> 0 1 OF HOURS SINCE DEWATERING: <br /> ❑O OTHER SAMPLE: <br /> LABORATORY: ��/�,t SAMPLERS NAME. <br /> i <br /> CLOSURE IN PLACE MIXTURE: VOLUME: <br /> DRAW SITE MAP ON REVERSI•: <br />