Laserfiche WebLink
SJLHD - UNDERGROUND TANK CLOSURE/ABANDONMENT INSPECTION <br /> (SHADED AREA BE FILLED IN FOR THE FIRS'' ANK ONLY) <br /> C i <br /> G OWNER 'NAME �Q FK �QpS OWNER PHONE # -yC i/ /v <br /> E <br /> N CONTRACTOR CON. PHONE# ?A���✓�i� -�/Z <br /> R i SJLHD PERMIT # EPA # AL �Lfk FIRE PERMIT # 2.-a6 <br /> i <br /> A <br /> L — <br /> ammImmalli 1" <br /> INSPECTO DATETANK # 39 - - - <br /> R RINSED (Y/N) METHOD RINSE AMOUNT <br /> I <br /> N RINSATE DISPOSAL SITE <br /> S <br /> E MANIFEST # -OR- OTHER <br /> V VAPORS PURGED (Y/N) METHOD V AMOUNT USED <br /> A <br /> P L.E.L. READING AT REMOVAL (MUST BE < 202) <br /> 0 <br /> T R COMMENTS <br /> A <br /> N TANK MATERIA (STEEL, FIBERGLASS, OTHER) TANK SIZE <br /> K C <br /> / 0 TANK CONDITION (GOOD, POOR, HOLES ) <br /> P N <br /> I S PIPE MATERIAL (STEEL, FIBERGLASS, OTHER) # FEET <br /> P T <br /> I PIPING CONDITION (GOOD, POOR, HOLES) <br /> NSAMPLE # <br /> G DEPTH SOIL TYPE OBSERVATION <br /> TS- <br /> F A <br /> I N <br /> E K <br /> L <br /> D EXCAVATION SIZE: X X �Q YDS OF SOIL : <br /> S- SAMPLE # <br /> I A DEPTH SOIL TYPE OBSERVATION <br /> N M P <br /> S P I <br /> P L P <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 /> FOTHER SAMPLE: ' G C� <br /> LABORATORY: SAMPLERS NAME: <br /> CLOSURE IN PLACE MIXTURE: VOLUME: <br /> DRAW SITE MAP ON REVERSE <br />