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SJLHD - UNDEG 'BUND 'DANK CLOSURE/A1u1NDUN 4T IN::1'LL,1'lUN � 8 000 <br /> (SHADED AREA ,'O DE FILLED IN FOIL TIIE FIRST TANK ONLY) 16 - <br /> G OWNER NAMEOWNER PHONE I <br /> NCONTRACTOR1, <br /> E CON. PHONEM ' � <br /> R SJLHD PERMIT 1 EPA M FIRE PERMIT p M7L <br /> t�++vJ V1l Li <br /> INSPEC OR DATE TANK Y 39 <br /> R RINSED Y ) METHOD �y� <br /> I � �lC(A/;i RINSE AMOUNT '- <br /> N RINSATE DISPOSAL SITE <br /> S <br /> E MANIFEST Y -OR- OTHER <br /> V VAPORS PURGED N) METHODC ( AMOUNT USED <br /> A <br /> ' P L.E.L. READING AT REMOVAL (MUST BE < 201) <br /> 0 <br /> T Ril COMMENTS <br /> A <br /> NFN <br /> TANK MATERIAL TE , FIBERGLASS, OTHER) TANK SIZE <br /> K <br /> / TANK CONDITION (GOOD' POOR, HOLES) <br /> P <br /> ` I S PIPE MNTERIA (STEEL, - FIBERGLASS, OTHER) Y FEET <br /> J P T <br /> I PIPING CONDITIO GOOD, POOR, HOLES) <br /> N <br /> G DEPTH SOIL TYPE OBSERVATION <br /> T SAMPLE <br /> F A <br /> I N �i <br /> L <br /> � ,; <br /> E K <br /> L <br /> D EXCAVATION SIZE: ;17 X c X YDS OF SOIL: <br /> 3; <br /> I A DEPTH SOIL TYPE OBSERVATION <br /> N M P SAMPLE Y <br /> S P I <br /> P L P <br /> E I E <br /> C N <br /> T G TRENCH DIMENSION <br /> I X X YDS OF SOIL <br /> U H DEPTH TO C.M. : FT <br /> N 2 SAMPLING METHOD <br /> 0 N OF HOURS SINCE DEWATERING: <br /> 0 OTHER SAMPLE: <br /> LABORATORY: SAMPLERS NAME: <br /> CLOSURE IN PLACE MIXTURE: <br /> ----- VOLUME: <br /> E.11 2:1 04:1(7/88) DRAM SITE MAP ON REVERSE <br />