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SJLHD - UNDET tOUND 'DANK CLOSURE/AWANDOt' NT INSPLGTIUN <br /> (SHADED ARE. -'PO BE FILLED IN FOR TRE F1',.--;T TANK ONLY) <br /> = � . . :ir r. , <br /> ,i <br /> G OWNER NAME L%e��� OWNER PHONE I <br /> E <br /> N CONTRACTOR� � f ��� t / CON. PHONEp <br /> E G <br /> R < SJLHD PERMIT U EPA q FIRE PERMIT u 12 5 5 A.�L `•J <br /> I NSPECTO �` DATE r /' TANK # 39 <br /> R RINSED (Y/N) METHOD RINSE AMOUNT <br /> I <br /> N RINSATE DISPOSAL SITE j <br /> S <br /> E MANIFEST U -OR- OTHER <br /> VA VAPORS PURGED (Y/N) METHOD i AMOUNT USED <br /> P L.E.L. READING AT REMOVAL (MUST BE < 20%) <br /> O <br /> T R COMMENTS , <br /> A <br /> K C TANK MATERIAL (STEE FIBERGLASS OTHER) TANK SIZE <br /> / 0 TANK CONDITIO (GOOD„) POOR, HOLES) <br /> P N / 0, <br /> I S PIPE MATERIAL (STEEL, FIBERGLAS J. OTHER) 0 FEET <br /> P T <br /> I PIPING CONDITION (GOOD, POOR, HOLES) <br /> N <br /> G DEPTH SOIL TYPE OBSERVATION SAMPLE 0 <br /> T <br /> F A a^� — <br /> I N <br /> E K <br /> L <br /> D EXCAVATION SIZE: ILS YDS OF SOIL: <br /> S- <br /> I A DEPTH SOIL TYPE OBSERVATION 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 G.W. : FT SAMPLING METHOD <br /> N 2 <br /> 0 0 OF HOURS SINCE DEWATERING: <br /> OTHER SAMPLE: <br /> LABORATORY: G SAMPLERS NAMEte” .M tA <br /> ---FCLOSURE IN PLACE IXTURE: VOLUME: <br /> DRAW SITE MAP ON REVERSE <br />