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SJLi: UNDE-1 RU'-L!L) TANK - _''JU10i" �1+TJLU �F`�'[J'1' 11J�1'LC'['lulJ <br /> (SHADED AR* O HE FILLED IN FOR THE F&T TANK ONLY) <br /> WNW, <br /> . <br /> G OWNER NAME OWNER PHONE <br /> E <br /> N CONTRACTOR CON. PHONE# <br /> E e <br /> R r SJLHD PERMI+�T I EPA # FIRE PERMIT # <br /> INSPECTOR � DATE TANK 1 39 - - <br /> R RINSED (Y/ METHOD RINSE AMOUNT <br /> I <br /> N RINSATE DISPOSAL SITE <br /> S <br /> E MANIFEST # -OR- OTHER <br /> V VAPORS PURGED /N) METHOD AMOUNT U E <br /> A - <br /> P L.E.L. READING AT REMOVAL (MUST Bi C 20%) <br /> 0 <br /> T R COMMENTS <br /> A <br /> N TANK MATERIAL, (STEE), FIBERGLASS, OTHER) TANK SIZE <br /> K C 3w� M r f <br /> / 0 TANK CONDITION (GOOD, POO HOLES ) cZ �(� <br /> P N <br /> I S PIPE MATERIAL (STEEL, FIBERGLASS, OTHE ) #, FEET <br /> P T _T <br /> I PIPING CONDITION (GOOD, POOR, HOLES) <br /> N <br /> G DEPTH SOIL TYPE OBSERVATION SAMPLE # <br /> T Jc� r Cr �Yv <br /> F A 9 <br /> I N t1 4econ 2 " <br /> E K t 1 <br /> L <br /> D EXCAVATION SIZE: Ic'A X X YDS 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 /> f <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 <br /> �0 # OF HOURS SINCE DEWATERING: <br /> J 0 f OTHER SAMPLE: <br /> LABORATORY: =� SAMPLERS NAME: <br /> CLOSURE IN PLACE MIXTURE: VOLUME: <br /> DRAW SITE MAP ON REVERSE <br /> Fil 23 01:3(7/88) <br />