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SJLIIU - UNDE: ROUND TANK CLOSURN/AL�ANDO '"``'NT ltq it �L:CTION <br /> (SHADED AR TO BE FILLED IN FOR THEF ST TANK ONLY) <br /> OU � <br /> r { <br /> G OWNER NAME OWNER PHONE 9 ! <br /> E <br /> N { CONTRACTOR lV©r (fa CON. PHONE* <br /> E < <br /> R < SJLHD PERMIT I EPA I FIRE PERMIT 9 <br /> L <br /> INSPECTOR DATE TANK tl 39 - <br /> R RINSED (Y/N) METHOD RINSE AMOUNT <br /> I <br /> N RINSATE DISPOSAL SITE <br /> S <br /> E MANIFEST q -OR- OTHER <br /> V VAPORS PURGED N METH O AMOUNT USED fit' <br /> A <br /> P L.E.L. READING AT REMOVAL (MUST B < 20%) <br /> O <br /> T R COMMENTS VD ppod ta*, luoVa7AI^s. <br /> A <br /> N TANK MATERIA (STEE , FIBERGLASS, OTHER) TANK SIZE--Yd&o <br /> K C <br /> / O TANK CONDITION (GOOD, POOR, OLES *led <br /> I�ri rr` <br /> P N f�t <br /> I S PIPE MATERIAL (STEEL, FIBERGLASS, OTHER) # FEET <br /> P T p <br /> I PIPING CONDITION (GOOD POOR 14CLES <br /> N - <br /> G DEPTH SOIL TYPE OBSERVATION SAMPLE # <br /> T <br /> F A <br /> I N Q 14 ZiZt��12'60" <br /> v <br /> E K vS &6 <br /> L <br /> D EXCAVATION SIZE: X X YDS OF SOIL: <br /> 3. <br /> I A DEPTH SOIL TYPE OBSERVATION SAMPLE # <br /> N M P <br /> s P z ~n <br /> P L P <br /> E I E <br /> C N <br /> T G TRENCH DIMENSION X X YDS OF SOIL <br /> I <br /> O H DEPTH TO G.W. : FT SAMPLING METHOD <br /> N 2 <br /> Q 1 OF HOURS SINCE DEWATERING: <br /> El <br /> OTHER SAMPLE: <br /> LABORATORY: F(S L� SAMPLERS NAME: <br /> CLOSURE IN PLACE MIXTURE: VOLUME: <br /> DRAW SITE HAP ON REVERSE <br /> E'IT 23 043(7/88) .: <br />