Laserfiche WebLink
(SHADED A TO SHE FILLED IN FOR THE � ST TANK ONLY) <br /> G < OWNER NAME OWNER PHONE <br /> E 0 <br /> l <br /> N CONTRACTOR 1 �y CON. PHONE# /�P')� U-6 <br /> E f l <br /> R SJLHD RMIT EPA # FIRE PERMIT # <br /> A <br /> L <br /> INSPECTOR j ?,V DATE TANK # 39 - <br /> R RINSED (Y/N) METHOD RINSE AMOUNT <br /> I J --T <br /> N RINSATE DISPOSAL SITE <br /> S <br /> LE-]LM ANIFEST # -OR- OTHER <br /> V VAPORS PURGED 1N) METHOD AMOUNT USED l�S <br /> A <br /> P L.E.L. READING AT REMOVAL (MUST BE < 20%) <br /> 0 <br /> T [-R] <br /> COMMENTS <br /> A <br /> N TANK MATERIAL STEEL,•; FIBERGLASS, OTHER) TANK SIZE <br /> K C 7 <br /> 1 0 TANK CONDITION (GOOD HOLES) <br /> P N <br /> I US PIPE MATERIAL S EEL FIBERGLASS, OTHER) # FEET <br /> P IPIPING CONDITION (GOOD, POOR, HOLES) <br /> N <br /> G DEPTH SOIL TYPE OBSERVATION SAMPLE # <br /> T <br /> F A t `S �j <br /> I N <br /> E K <br /> L <br /> D %? EXCAVATION SIZE: 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 /> E I cl <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 /> ulOTHER SAMPLE: <br /> F-ol <br /> LABORATORY: ) SAMPLERS NAME: <br /> CLOSURE IN PLACE MIXTURE: VOLUME: <br /> DRAW SITE MAP ON REVERSE <br />