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S�LHu - UNDEUUND TANK CLOSURE/AB,ANDON T INSPECTION <br /> (SHADED ARE00 BE FILLED IN FOR THE FIAWP TANK ONLY) <br /> G OWNER NAME OWNER PHONE # <br /> E <br /> N t CONTRACTOR CON. PHONE# <br /> E <br /> R < SJLHD PERMIT # EPA # FIRE PERMIT # ()fl <br /> LE <br /> INSPECTOR DATE ",I`� "� � TANK # 39 <br /> R RINSED '(�N) METHOD (1P1p 'k RINSE AMOUNT <br /> I 7 <br /> N RINSATE DISPOSAL SITE <br /> S <br /> E MANIFEST # -OR- OTHER <br /> A VAPORS PURGED;r(Y/N) METHOD'�. r AMOUNT USED <br /> c <br /> P L.E.L. READING AT REMOVAL (MUST BE < 20%) <br /> 0 <br /> T R COMMENTS <br /> A _ <br /> N TANK MATERIAL (ST FIBERGLASS, OTHER) TANK SIZE loo(/ <br /> K C <br /> / 0 TANK CONDITION CGOODOOR, HOLES) >L�i- « � r�'� ' P✓Yde <br /> P N <br /> I S PIPE MATERIAL (STEEL, FIBERGLASS, OTHER) # FEET / <br /> P T <br /> I PIPING CONDITION (GOOD, POO-Rj HOLES) <br /> N <br /> G DEPTH SOIL TYPE OBSERVATION SAMPLE # <br /> T -- <br /> F A AC) ;'' <br /> I N ��! r C F}, i <br /> E K k) <br /> L _ <br /> D EXCAVATION SIZE: X XYDS OF SOIL: <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. : ''' FT SAMPLING METHOD <br /> N 2 nrI <br /> 0 # OF HOURS SINCE DEWATERING: --- <br /> OTHER SAMPLE: <br /> ❑O -- <br /> LABORATORY: l,JI SAMPLERS NAME: <br /> CLOSURE IN PLACE MIXTURE: --_- VOLUME: — <br /> DRAW SITE NAP ON REVERSE <br />