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SJLHD - UND"'AGROUND 'TANK CLO URL/ALLANML•'NT IN:;NL•'C'1'lUN <br /> (SHADED Al� TO BE FILLED IN FOR THE t�t2ST TANK ONLY) <br /> � = 101 <br /> t�+Aj' <br /> G OWNER NAME OWNER PHONE 9 <br /> NCONTRACTOR CON. PHONE# ' r <br /> R t SJLHD PERMIT Y EPA M <br /> FIRE PERMIT 0 <br /> L :. <br /> I RINSED N) METHOD RINSE AMOUNT <br /> 'p ,9/ivsr� <br /> N RINSATE DISPOSAL SITE <br /> S Pkiert S-c-v�r_r°s <br /> E MANIFEST # I-OR- OTHER <br /> V VAPORS PURGED (Y/ ) METHOD AMOUNT USED <br /> A !�i � SO <br /> .P L.E.L. READING AT REMOVAL (MUST BE < 20%) <br /> 0 <br /> T R COMMENTS <br /> A <br /> N TANK MATERIAL ( EF'Ly FIBERGLASS OTHER) TANK SIZE <br /> K C N <br /> / 0 TANK CONDITION (GOOD, POOR, HOLES) <br /> I S PIPE MATERIAL (STEEL FIBERGLASS, OTHER) # FEET <br /> P T <br /> I PIPING CONDITION (GOOD, POOR, HOLES) <br /> N <br /> G DEPTH SOIL TYPE OBSERVATION SAMPLE a <br /> T <br /> FA O n/d c� ni-Q' .� c- <br /> N <br /> I N <br /> E K <br /> L <br /> D EXCAVATION SIZE: X � X YDS OF SOIL: <br /> s- <br /> I A DEPTH SOI7TYPE gPSERVATION 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 /> I <br /> O H DEPTH TO C.W. : FT SAMPLING METHOD <br /> N 2 <br /> D i OF HOURS SINCE DEWATERING: <br /> aOTHER SAMPLE: <br /> LABORATORY: ak <br /> SAMPLERS NAME: <br /> LCLOSUREE IN PLACE MIXTURE: VOLUME: <br /> DRAW SITE HAP ON REVERSF. <br />