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0'3 <br />SJLHU — UNDLJ '(UUNU 'TANK CLOSURE/APjANDUP 'NT IN61'EC'1'lutil <br />(SHADED AREA—rO BE FILLED IN FOR THE FI2YST TANK ONLY) <br />'NAME <br />G < OWNER I.�NF � <br />CONTRACTOR NY <br />NACU <br />' <br />OWNER PHONE M <br />CON. PHONE# Z0y/— <br />E <br />i <br />R S J L H D �?P.E��R{M I T # �j �2�EiP�Aj # FIRE PE R M I �yTrc�# <br />MI—..Ml'It <br />LL•' MO VI ARDS Ur <br />INSPECTO <br />DATE ��($5 <br />TANK # 39 - 23 41� — <br />R <br />RINSED (Y/N) <br />METHOD <br />RINSE AMOUNT <br />I <br />N <br />RINSATE DISPOSAL SITE <br />S <br />E <br />MANIFEST # -OR- OTHER <br />V <br />VAPORS PURGED (Y/N) <br />METHOD_ <br />I AMOUNT USED D <br />A <br />P <br />L.E.L. READING AT REMOVAL (MUST BE < 20%) <br />T <br />0 <br />R <br />COMMENTS <br />A <br />N <br />TANK MATERIALSTEEL <br />FIBERGLASS, OTHER) <br />u,�« <br />TANK SIZE f'UO G <br />K <br />C <br />/ <br />0 <br />TANK CONDITION (GOOD, POOR, HOLES) <br />P <br />I <br />N <br />S <br />PIPE MATERIAL STEEL, FIBERGLASS, OTHER) <br /># FEET <br />P <br />T <br />I <br />PIPING CONDITION (GOOD, POOR, HOLES) <br />N <br />G <br />DEPTH SOIL TYPE OBSERVATION SAMPLE # <br />T <br />F <br />A <br />r st <br />I <br />N <br />E <br />K <br />L <br />D <br />S- <br />EXCAVATION SIZE: �a-X _;27X 7d` <br />YDS OF SOIL: O� �- <br />I <br />A <br />DEPTH SOIL TYPE OBSERVATION <br />SAMPLE # <br />N <br />M <br />P <br />S <br />P <br />I <br />P <br />L <br />P <br />E <br />I <br />E <br />C <br />N <br />T <br />G <br />TRENCH DIMENSION X X <br />YDS OF SOIL <br />I <br />0 <br />H <br />DEPTH TO C.W.: FT <br />SAMPLING METHOD <br />N <br />2 <br />0 <br /># OF HOURS SINCE DEWATERING: <br />Foil <br />OTHER SAMPLE: <br />LF <br />- <br />LABORATORY: ^& /-A e/ <br />SAMPLERS NAME: J <br />CLOSURE IN PLACE <br />I MIXTURE: <br />VOLUME: <br />DRAW SITE MAP ON REVERSE <br />Ell 2:1 04:1(7/88) <br />