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SJLHU — UNDEHUND TANK CLOSURE/ABANDONt&T INSPECTION <br /> (SHADED AREA O BE FILLED IN FOR THE FI TANK ONLY) <br /> E0.MVD {W.N SSC <br /> G OWNER NAME OWNER PHONE # <br /> E <br /> N CONTRACTOR Co q-4z CON. PHONE# <br /> E <br /> cR�oc ob <br /> R < SJLHD PERMIT # EPA # :+m z- FIRE PERMIT # QiJ Sire4. <br /> L - _ � , <br /> INSPECTOR . =- - DATE TANK # 39 <br /> R RINSED METHOD -�_ RINSE AMOUNT ,7 <br /> � Y/N) S, - <br /> I <br /> N RINSATE DISPOSAL SITE <br /> S <br /> E MANIFEST p ;, - ! ' -OR- OTHER <br /> V VAPORS PURGED /N) METHOD AMOUNT USED <br /> A _ <br /> P L.E.L. READING AT REMOVAL (MUST BE < 20%) <br /> 0 <br /> T R COMMENTS <br /> A <br /> N TANK MATERIAL (STEEL, FIBERGLASS, OTHER) TANK SIZE <br /> K C — <br /> / O TANK CONDITION Goo> OOR,; HOLES) <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 <br /> E K 1 <br /> L <br /> D EXCAVATION SIZE: X X IIL: <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 /> I <br /> 0 H DEPTH TO G.W. doe FT SAMPLING METHOD <br /> N 2 <br /> 0 # OF HOURS SINCE DEWATERING: <br /> I O I OTHER SAMPLE: <br /> LABORATORY: w C5� SAMPLERS NAME: _ 1 <br /> CLOSURE IN PLACE MIXTURE: VOLUME: <br /> DRAW SITE MAP ON REVERSE <br />