Laserfiche WebLink
Z31S <br /> SJLHD - UNDY '<OUND 'TANK CLOS UftL-/AILANDO� NT INS1'LG'1'tuN <br /> (S}JADED ARL�]i.'0 DE FILLED IN FOR T11.0FL.-uT TANK ONLY) <br /> G OWNER NAME CQ G f/, OWNER PHONE I - ; <br /> E <br /> N CONTRACTORS-- <br /> �UGv.✓ �oGcn//.e. �.v CON. PHONEN 3Xz-,I c6 U <br /> E : <br /> R SJLHD PERMIT <br /> EPA 0 FIRE PERMIT a S S <br /> INSPjECTjORg� DATE TANK fr 39R METHOD RINSE AMOUNT <br /> I <br /> N RINSATE DISPOSAL SITE <br /> S <br /> E MANIFEST # -OR- OTHER <br /> V VAPORS PURGED (Y/N) METHOD AMOUNT USED <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 (STEEL, (FIBERGLASS, OTHER) TANK SIZE/C G C7 �' <br /> K C <br /> / O TANK CONDITION G00'b, POOR, HOLES) <br /> P N <br /> I S PIPE MATERIAL (STEEL FIBERGLASS, THER) FEET <br /> P T <br /> I PIPING CONDITION (GOOD, POOR, HOLES) elel Cam Lf ' <br /> N cd'Lv e' <br /> G DEPTH SOIL TYPE OBSERVATION SAMPLE <br /> T », s— <br /> F A <br /> I N c <br /> E K <br /> L <br /> D EXCAVATION SIZE: X LLIXYDS 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. : <br /> N FT SAMPLING METHOD <br /> 2 <br /> 0 0 OF HOURS SINCE DEWATERING: <br /> aOTHER SAMPLE: <br /> LABORATORY: �� SAMPLERS NAME: 'e <br /> CLOSURE IN PLACE I MIXTURE: VOLUME: <br /> Elf 23 011:1(7/88) DRAW SITE. MAP ON REVERSE <br />