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SJLHD — UND GRGUND TANK CLOSURE/AI�NDO !`LNT INSPECTION <br /> (SHADED ARi TO BE FILLED IN FOR THE F AST TANK ONLY) <br /> ' � Zn <br /> h <br /> S <br /> G OWNER N M OWNER P ONE `S <br /> E Zzli az <br /> N CONTRACTOR CON. PHONE# p� <br /> E j IM � d 6 <br /> R SJLHD PERMIT EPA I FIRE PERMIT < <br /> . . .: . . . . . . . . . . . . . . . . <br /> � <br /> E INSPECTOR'-r DATE ,� '(� �� TANK 1 39 - <br /> R RINSEq Y/ } METHOD RINSE AMOUNT v <br /> I <br /> N RINSATE DISPOSAL SITE <br /> S <br /> E MANIFEST I -OR�� OTHER <br /> i V VAPORS PURGED � �{ <br /> N) METHOD �Y AMOUNT USED <br /> A 61 1 <br /> i P L.E.L. READING AT REMOVAL (MUST BE < 20*) <br /> I 0 <br /> A R COMMENTS <br /> I <br /> '" N TANK MATERIAL STEEL FIBERGLASS, OTHER), TANK SIZE <br /> K C :k II { <br /> / 0 TANK CONDITION (GOOD POOR, HOLES) <br /> P N <br /> I S PIPE MATERIAL (STEEL FIBERGLASS, OTHER) I FEET <br /> P T " !p <br /> I PIPING CONDITION (GOOD, POOR, HOLES) <br /> N 11 <br /> G DEPTH SOIL TYPE OBSERVATION � SAMPLE I <br /> T <br /> F A i+ws� IM <br /> I N !!+j Al <br /> E K � t hv,i ► *L k <br /> If D EXCAVATION SIZE: X X k `YDS OF SOIL: <br /> s: <br /> I A DEPTH SOIL TYPE OBSERVATION} SAMPLE I <br /> N M P <br /> S P I tj i'I <br /> P L P <br /> E I E <br /> C N <br /> '� IA <br /> r <br /> I` T G TRENCH DIMENSION X X I jIYDS OF SOIL <br /> i I <br /> O H DEPTH TO G.W. : FT SAMPLING METHOD j <br /> N 2 ' <br /> 0 1 OF HOURS SINCE DEWATERING: I <br /> it I <br /> IELOTHER <br /> SAMPLE: �M <br /> LABORATORY: SAMPLERS NAME: <br /> i <br /> Lil CLOSURE IN PLAMi TUBE: i � VOLUME: <br /> CE <br /> i <br /> I DRAW SITE MRP ON REVERSE <br /> Ill 2:1 043(7/88) ;4 <br />