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SJLHD - UNU ' ROUND 'TANK CLOSURE/A7.(ANDO�-'N'1' INSPECTIUN <br /> (SHADED AR*TO BE FILLED IN FOR THE FWST TANK ONLY) <br /> ,U 1 Gb t s <br /> G OWNERPI±ME C G ( OWNER PHONE I(- <br /> Q <br /> E <br /> N < CONTRACTOR i ) CON. PHONEq <br /> IF <br /> R < SJLHD PERMIT q <br /> EPA q FIRE PERMIT q <br /> INSPECTOR DATE TANK q 39 - - <br /> R RINSED (Y/N) METHOD RINSE AMOUNT <br /> I <br /> N RINSATE DISPOSAL SITE <br /> S <br /> E MANIFEST I -OR- OTHER <br /> V VAPORS PURGED (Y/N ) METHOD AMOUNT USED <br /> A <br /> P L.E.L. READING AT REMOVAL (MUST BE C 20�) <br /> 0 <br /> T R COMMENTS <br /> A <br /> N TANK MATERIAL (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) q FEET <br /> P T <br /> I PIPING CONDITION (GOOD, POOR, HOLES ) <br /> NSAMPLE q <br /> G DEPTH SOIL TYPE OBSERVATION <br /> T <br /> F A cu i Lc t <br /> nc <br /> E K c ,; <br /> D EX AVATION SIZE: X _ X YDS OF SOIL: a (� <br /> S- <br /> I A DEPTH SOIL TYPE OBSERVATION SAMPLE q <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 C.W. : FT SAMPLING METHOD <br /> N 2 <br /> 0 q OF HOURS SINCE DEWATERING: <br /> 0 OTHER SAMPLE: nn <br /> LABORATORY: (� n U l7YccR ' '-he< -, SAMPLERS NAME: <br /> ga <br /> CLOSURE IN PLACE MIXTURE: VOLUME: <br /> DRAW SITE MAP ON REVERSE <br /> P.II '!3 N'1(7/88) <br />