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(SHADED ARBE FILLED IN FOR THE TANK ONLY) <br /> VftlI <br /> ; <br /> G OWNER NAME OWNER PHONE # <br /> E <br /> N CONTRACTOR CON. PHONE# <br /> E <br /> R SJLHD PERMIT # EPA_# FIRE PERMIT # <br /> L G � SK <br /> I NSPECTOR,/� � DATE ,/ 'r � �,�il TANK # 39 <br /> R RINSED (Y/N) METHOD RINSE AMOUNT <br /> N RINSATE DISPOSAL SITE ld <br /> S <br /> E MANIFEST -OR- OTHER <br /> V VAPORS PURGED (Y,/,N) METHOD / E /J AMOUNT USED,/---/, <br /> A �, l <br /> P L.E.L. READING AT REMOVAL (MUST BE < 20%)� <br /> 0 <br /> T R COMMENTS <br /> A <br /> N TANK MATERIAL ( STEEIi, FIBERGLASS, OTf{ER) TANK SIZE <br /> K C �/ <br /> / 0 TANK CONDITION -C60D,/POOR', HOLES) <br /> P N <br /> I S PIPE MATERIAL (STI,:;, FIBERGLASS, OTHER) # FEET 2 <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 /> I N <br /> E 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 !Z X 2'/"X '2 YDS OF SOIL <br /> I <br /> 0 H DEPTH TO G.W. : FT SAMPLING METHOD <br /> N 2 <br /> 0 # OF HOURS SINCE DEWATERING: <br /> aOTHER SAMPLE: <br /> LABORATORY: SAMPLERS NAME: <br /> CLOSURE IN PLACE MIXTURE: VOLUME: <br /> DRAW SITE MAP ON REVERSE <br />