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SJLHD - UND ROUND 'TANK CLO;;URE/AILAND NT INSPECTION <br /> (SHADED ARJWTO BE FILLED IN FOR THE T TANK ONLY) <br /> G OWNER NAME OWNER PHONE Y <br /> E <br /> N CONTRACTOR CON. PHONEY <br /> E <br /> R < SJLHD PERMIT Y EPA Y FIRE PERMIT Y <br /> L �� `im T <br /> INSPECTOR u N DATE I2/2a/ TANK Y 39 <br /> R RINSED RINSE AMOUNT <br /> I ) METHOD tnA Prp' slpv aiw o 0 5rx( <br /> N RINSATE DISPOSAL SITE <br /> S <br /> E MANIFEST Y 6 ",70Y93SZ) -OR- OTHER <br /> V VAPORS PURGED (Y/k) METHOD <br /> A � cr AMOUNT USED 567lli <br /> P L.E.L. READING AT REMOVAL (MUST BE ( 208) pVA <br /> 0 <br /> T R COMMENTS <br /> A <br /> NTANK MATERIAL ( 7'E FIBERGLASS, OTHER) TANK SIZE <br /> K C o2 �l)GJ <br /> / 0 TANK CONDITION �0 , POOR, HOLES) <br /> P N <br /> I S PIPE MATERIAL STEE , FIBERGLASS, OTHER) Y FEET <br /> P T <br /> I PIPING CONDITION GOOD, POOR, HOLES) <br /> z ;� <br /> N <br /> G T DEPTH *SOILE OBSERVATION SAMPLE Y <br /> E K <br /> L <br /> D S • EXCAVATION SIZE: X /S X S YDS OF SOIL: . /s- <br /> I A DEPTH SOIL TYPE OBSERVATION SAMPLE Y <br /> N M P <br /> S P I <br /> P L P <br /> E I E <br /> C N <br /> T C TRENCH DIMENSION X _ X YDS OF SOIL <br /> I <br /> 0 H DEPTH TO G.W. : FT SAMPLING METHOD <br /> N 2 <br /> 0 Y OF HOURS SINCE DEWATERING: <br /> aOTHER SAMPLE: <br /> / <br /> LABORATORY:c/ wQ SAMPLERS NAME: <br /> ^D✓nAr Cru//mac_' <br /> CLOSURE IN PLACE MIXTURE: VOLUME: <br /> DRAW SITF. MAP ON REVERSE <br /> ),�( 21 0.1" '" 188) <br />