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S.7I.HD — UND .5 3RUUND 'TANK C:LOSURL/A4A!ND0_ ;1 L•:NT IN:.iYECTIUN i <br /> I <br /> (SHADED ARP' fT0 BE FILLED IN FOR TJil: >T TANK ONLY) <br /> 7RSJLHD <br /> � " : <br /> WNER NAME OWNER PHONE <br /> ONTRACTOR CON. PH'ONEllF PERMIT I EPA # FIRE PERMIT # <br /> L � � R l ` . : <br /> INSPECTOR DATE i TANK 1 � 39 - -- <br /> R RINSED (Y/N) METHOD 99Ji� RINSE AMOUNT <br /> I <br /> N RINSATE DISPOSAL SITE <br /> S <br /> E MANIFEST I -OR- OTHER <br /> ... ii <br /> V VAPORS PURGED (Y/N) METHODr �. I AMOUNT USED J� M� <br /> A I 6 <br /> P L.E.L. READING AT REMOVAL (MUST BE C� 20$) y� <br /> 0 <br /> T R COMMENTS E <br /> A <br /> N TANK MATERIAE. (STEEL,, FIBERGLASS, OTHEFt) !� TANK SIZE <br /> K C <br /> / 0 TANK CONDITION (GOOD, POOR, HOLES) I� <br /> P N <br /> I S PIPE MATERIAL (STEEL, FIBERGLASS, OTHER) I) FEET <br /> P T ` <br /> I PIPING CONDITION (GOOD, POOR, HOLES) <br /> N <br /> G DEPTH SOIL TYPE OBSERVATION i ! SAMPLE 0 <br /> T <br /> F A If <br /> I N /ulit <br /> E K NOOK W 4 arx, WAA c IN <br /> L V <br /> D EXCAVATION SIZE: XX A? YDS OF SOIL: <br /> S- <br /> I <br /> IM <br /> I A DEPTH SOIL TYPE OBSERVATION I� SAMPLE <br /> N M P <br /> S P I iN <br /> P L P iC <br /> C N ik <br /> T G TRENCH DIMENSION X X YDS OF SOIL <br /> I ai <br /> ' O H DEPTH TO G.W. : FT SAMPLING METHOD <br /> N 2 , i <br /> D OF HOURS SINCE DEWATERING: iE <br /> aOTHER SAMPLE: <br /> LABORATORY: , SAMPLERS NAME: <br /> P <br /> CLOSURE IN PLACE MIXTURE: VOLUME: <br /> DRAW SITE MAP ON REVERSE <br /> F11 2:1 0/1:3(7 /88) <br /> it <br />