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5�LHu - UNVERt 'RUUNU TANK CLOSURE/AB,ANDONI -NT INSPECTION <br /> (SHADED ARE0 BE FILLED IN FOR THE FI41' TANK ONLY) <br /> T'T- <br /> 171, <br /> it <br /> G OWNER NAME OWNER PHONE # <br /> N < CONTRACTOR ,� CMEr CON. PHONE# <br /> E <br /> R SJLHD PERMIT # EPA # FIRE PERMIT # <br /> L ;p"n <br /> INSPECTORDATE TANK # 39 - c? 31.1 - <br /> R RINSED (Y�N)) METHODL� )�,L RINSE AMOUNT_ - <br /> I <br /> N RINSATE DISPOSAL SITE <br /> S <br /> E MANIFEST # -OR- OTHER <br /> V VAPORS PURGED (_Y/N) METH0Dy� AMOUNT USED ,- <br /> A `' <br /> P L.E.L. READING AT REMOVAL (MUST BE C 208) <br /> 0 <br /> T R COMMENTS _ <br /> A -- <br /> N TANK MATERIAL ( TEEL,, FIBERGLASS, OTHER) TANK SIZErZ ,, (_: <br /> K C _ — <br /> / 0 TANK CONDITION ( POO OLF.S N� i! � ' r��roF �e� c�rz'-'« ay <br /> P N <br /> I S PIPE MATERIAL ( STEEL, FIBERGLASS, OTHER) # FEET <br /> P T - �cj 7 ,r 2 <br /> I PIPING CONDITION (GOOD, POOR, HOLES) _L-J <br /> N - I I <br /> G DEPTH SOIL TYPE OBSERVATION SAMPLE # <br /> F A - LC io <br /> I N <br /> E K 54,i <br /> L ?;C// <br /> D EXCAVATION SIZE: X X YDS OF SOIL: /� <br /> S L/ <br /> I A DEPTH '\SOIL TYPE BSERVATION SAMPLE # <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 /> 0(1' FT� SAMPLING METHOD — <br /> 0 H DEPTH TO G.W. • - <br /> N <br /> 0 # OF HOURS SINCE DEWATERING: <br /> L 0 OTHER SAMPLE: `' <br /> LABORATORY: k V m 6_0 �` SAMPLERS NAME: <br /> CLOSURE IN PLACE MIXTURE: VOLUME: <br /> DRAW SITE MAP ON REVERSE <br />