Laserfiche WebLink
SJLI{D — UN*Gf{UUND TANK C:LCl-JUl(E,,AlWMlj616-11'1' 114L 'L:C TI UN <br /> (SHADF,D AREA TO BE FILLED <br /> IN FOR `THE- P-IRST TAN.�K` ONLY) �r. .�� <br /> G OWNER NAME OWNER PHONE 9 : <br /> E '! <br /> N CONTRACTOR CON. PHONER <br /> E <br /> R SJLHD PERMIT tl EPA I FIRE PERMIT 0 ; <br /> Ell <br /> INSPECTORp�+ � DATE ?, lir r� TANK Y 39 - __-f-� 1 -- C ) I <br /> R RINSED ,(Y N) METHOD:;C"i't,� RINSE AMOUNT <br /> N RINSATE DISPOSAL SITE � � � « <br /> S <br /> E MANIFEST I -OR- OTHER <br /> V VAPORS PURGED (YiN) METHOD/"(,, ,` AMOUNT USED` <br /> A <br /> P L.E.L. READING AT REMOVAL (MUST BE < 201) <br /> 0 <br /> T R COMMENTS <br /> A <br /> N TANK MATERIA (STEEL, FIBERGLASS, OTHER) TANK SIZE <br /> K C <br /> / O TANK CONDITION (GOOD,(POOR, -HOLES) <br /> P N <br /> I LSPIPE MATERIALSTEEL, .FIBERGLASS, OTHER) FEET <br /> /� <br /> P /' <br /> I PIPING CONDITION (GOOD, `-POOR, 'HOLES ) <br /> N <br /> G DEPTH SOIL TYPE OBSERVATION SAMPLE <br /> LnT <br /> F A <br /> I N 12 <br /> E K <br /> L <br /> D EXCAVATION SIZE: X YDS OF SOIL: <br /> S- <br /> I A DEPTH SOIL TYPE OBSERVATION SAMPLE <br /> N M P <br /> S P I J Tez- ..c, pL r,% 7 <br /> P L P J <br /> E I }? <br /> C N <br /> T G TRENCH DIMENSION X X YDS OF SOIL <br /> I <br /> O H DEPTH TO C.W. : FT SAMPLING METHOD <br /> N 2 <br /> (�0 11 OF HOURS SINCE DEWATERING: <br /> f <br /> LABORATORY: r % J4 fe SAMPLERS NAME: <br /> CLOSURE IN PLACE MIXTURE: VOLUME: <br /> DRAW SITr MAP ON REVERSE <br />