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SJLHD — UNL*'ROUND "TANK CL0'JUJ(Zj AlVkN[J6j"Wr <br /> (SHADED AREA TO DE FILLED IN FOR T11E FIRST TANK ONLY) <br /> G • OWNER NAME OWNER PHONE V <br /> E Y <br /> NCONTRACTOR CON. PHONE# <br /> E <br /> R SJLHD PERMIT I EPA I FIRE PERMIT #—J <br /> { <br /> INSPECTOR DATE DATE 3 TANK Y 39 <br /> R RINSED YN) METHOD r, a- RINSE AMOUNT <br /> N RINSATE DISPOSAL SITE <br /> E MANIFEST I! —OR— OTHER <br /> V VAPORS PURGED ((YIN) METHODrrf, 7 /AMOUNT USED �- 1 �} <br /> A <br /> P L.E.L. READING AT REMOVAL (MUST BE < 20%)4, Z <br /> 0 <br /> T R COMMENTS <br /> A , <br /> N TANK MATERIAL (SftE , FIBE-RGLASS OTHER) TANK SIZE r <br /> K C <br /> / 0 TANK CONDITION (GOOD, POOR, HOLES ) <br /> P N -- <br /> I S PIPE MATERIAL (STEEL, FIBERGLASS, OTHER) I� FEET �,rv .�� <br /> P T <br /> I PIPING CONDITION (GOOD, POOR; HOLES) <br /> N <br /> G DEPTH SOIL TYPE OBSERVATION SAMPLE It <br /> F A � �1rw, r,r c' � /SoP_�, <br /> I N <br /> E K <br /> L <br /> D EXCAVATION SIZE: X � X �,7 YDS OF SOIL: <br /> S• <br /> I A DEPTH SOIL TYPE OBSERVATION SAMPLE p <br /> N M P <br /> P L P <br /> E I E <br /> C N <br /> T G TRENCH DIMENSION X X YDS OF SOIL <br /> __TI <br /> ' O H DEPTH TO C,W. : FT SAMPLING METHOD <br /> N 2 <br /> 0 1 OF HOURS SINCE DEWATERING: <br /> 70 OTHER SAMPLE: IST <br /> i <br /> LABORATORY: ' � � SAMPLERS NAME: <br /> L—L CLOSURE IN PLACE I MIXTURE: VOLUME: <br /> )?t( 2:3 01:1(7/88) DRAW SITE MAP ON f VERSE <br />