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SJLHD — UNDL. ,OFOUND 'TANK CLOSURE/AUNDO -.NT 1 NSL'L C'1-1 UN <br /> (SHADED AR£ O DE FILLED IN FOR THE FST TANK ONLY) <br /> G c OWNER NAME <br /> j' <br /> E r OWNER PHONE N ?3 _ <br /> N f CONTRACTOR r CON. PHONE# J ' <br /> E J � • � <br /> R t SJLHD PERMIT p <br /> A EPA FIRE PERMIT 0 <br /> INSPECTOR4,j DATE gl7 � TANK @ 39 - <br /> R RINSED (Y/N) METHOD <br /> I RINSE AMOUNT <br /> N RINSATE DISPOSAL SITE <br /> S <br /> E MANIFEST q <br /> - - -OR- OTHER <br /> V VAPORS PURGED %(Y, N) METHOD <br /> A ��� AMOUNT USED�� <br /> P L.E.L. READING AT REMOVAL (MUST BE < 20%) <br /> 0 <br /> T R COMMENTS <br /> A <br /> N TANK MATERIAL (STEE , FIBERGLASS <br /> K C , OTHER) TANK SIZE <br /> / 0 TANK CONDITION (GOODHOLES) <br /> 0 0 a <br /> P N , �'OOj , HOLES) <br /> "I S PIPE MATERIAL STEEL, FIBERGLASS, OTHER) � <br /> P T - FEET <br /> I PIPING CONDITION (GOOD, OORl HOLES) <br /> N <br /> G DEPTH SOIL TYPE OBSERVATION <br /> T SAMPLE f) <br /> F A ca c�r�i <br /> I N <br /> E K <br /> L <br /> D EXCAVATION SIZE: <br /> 3; IL X X .� YDS OF SOIL <br /> I A DEPTH SOIL TYPE OBSERVATION <br /> N M P SAMPLE # <br /> S P I A-) <br /> P L P <br /> E I E <br /> C N <br /> T G TRENCH DIMENSION X X <br /> I YDS OF SOIL <br /> 0 H DEPTH TO G.W. : <br /> N 2 - FT SAMPLING METHOD <br /> 0 # OF HOURS SINCE DEWATERING: <br /> 0 OTHER SAMPLE: <br /> LABORATORY: &'� SAMPLERS NAME: <br /> CLOSURE IN PLACE MIXTURE: <br /> VOLUME: <br /> DRAW SITE. MAP ON R'CVERSF <br /> I'll 2:1 04:1(7/88) <br />