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�,.•.• ..-a a,.:..ttrc{.. ...V... xtura+, L;1iV��h�/.AL�NNLUAIJ"lY�:lV'1" 1,1V:���;C:�"l Ula <br /> (S HADED AR TO BE FILLED IN FOR THE rMST TANK <br /> ONLY) <br /> G OWNE NAME <br /> OWNER PHONE # <br /> N { CONTRACTOR <br /> E CON. PHONE# <br /> R { SJLHQ PERMIT # EPA #C;9060! <br /> A lrr FIRE PERMIT # 0 <br /> L <br /> INSPECTOR T[ - -- DATE / �? TANK # 39 <br /> R RINSED (Y/. ) METHOD <br /> •• I RINSE AMOUNT <br /> N RINSATE DISPOSAL SITE <br /> S <br /> E MANIFEST # -OR- OTHER <br /> V VAPORS PURGED (Y11k) METHOt AMOUNT USED <br /> A <br /> P L.E.L. READING AT REMOVAL (MUST B < 20%) <br /> 0 <br /> T R COMMENTS <br /> A <br /> N TANK MATERIA STEE , 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 /> N <br /> G DEPTH SOIL TYPE OBSERVATION <br /> T SAMPLE # <br /> F A <br /> I N <br /> E K <br /> L <br /> D s- EXCAVATION SIZE: X X 12 YDS OF SOIL : <br /> _ <br /> I A DEPTH SOIL TYPE OBSERVATYON <br /> N M P SAMPLE # <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 /> T <br /> 0 H DEPTH TO G.W. : FT SAMPLING METHOD <br /> N 2 : ] - <br /> �0 # OF HOURS SINCE DEWATERING: <br /> [ O OTHER SAMPLE: <br /> r <br /> L LABORATORY: SAMPLERS NAME: <br /> CLOSURE IN PLACE MIXTURE: V :::;Z:::: -=I <br /> OLUME: <br /> Ell 23 013(7/88) DRAW SITE MA•P ON REVERSE <br />