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SJLHD - UNDEPGROUND TANK CLOSURE/AB,ANDONM4NT INSPECTION <br /> (SHADED ARF&TO BE FILLED IN FOR THE F ;T TANK ONLY) <br /> n7!n"pt!c!' <br /> S. Av o2.k h` <br /> E . i OWNER NAME OWNER PHONE 4 <br /> N CONTRACTOR ( CON. PHONE# <br /> E ` S <br /> R < SJLHD RMIT # EPA # FIRE PERMIT # <br /> A <br /> L <br /> INSPECTOR �RJ�� DATE �1_�—fig TANK # 39 - <br /> R RINSED (YIN) METHOD RINSE AMOUNT <br /> I <br /> N RINSATE DISPOSAL SITE <br /> S <br /> E MANIFEST # -OR- OTHER <br /> V VAPORS PURGED (gyN) METHOD AMOUNT USED U <br /> A <br /> P L.E.L. READING AT REMOVAL (MUST BE < 20%) <br /> 0 <br /> T R COMMENTS <br /> A <br /> N TANK MATERIAL "TE FIBERGLASS, OTHER) TANK SIZE G <br /> K C <br /> / 0 TANK CONDITION , POOR, HOLES) <br /> P N <br /> I S PIPE MATERIALeEL, FIBERGLASS, OTHER) #. FEET <br /> P T <br /> I PIPING CONDITION (GOOD, O , HOLES ) <br /> Nr <br /> G DEPTH SOIL TYPE OBSERVATION SAMPLE # <br /> T <br /> F A a� 5 <br /> I N 6 µ QL <br /> E K <br /> L <br /> D EXCAVATION SIZE: L'+a�C� 0 I(c YDS OF SOIL: <br /> S- <br /> I A DEPTH SOIL TYPE OBSERVATION SAMPLE V, <br /> N M P <br /> S P I <br /> P L P <br /> E I E <br /> C N <br /> T I G TRENCH DIMENSION X X YDS OF SOIL <br /> 0 H DEPTH TO G.W. : FT SAMPLING METHOD <br /> N 2 <br /> 0 # OF HOURS SINCE DEWATERING: <br /> UFOJ <br /> OTHER SAMPLE: <br /> LABORATORY: � � (klWo4 SAMPLERS NAME: <br /> t <br /> CLOSURE IN PLACE I MIXTURE: VOLUME: <br /> DRAW SITE MAP ON REVERSE <br />