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SJLHD -- UVL)ERQf(UUNU 'TANK CLOSURE/A1��NDUNm4:NT INSPECTIUN <br /> (SHADED ARE "TO BE FILLED IN FOR THE Fl,,._JT TANK ONLY) <br /> Tamil <br /> G OWNER NAM *' <br /> E �� OWNER PHONE # Sf <br /> -41 qq <br /> NPHONEN <br /> .CON <br /> t CONTRACTOR <br /> E W�� M IM 98- tyrz4 <br /> R < SJLHD PERMIT # EPA N FIRE PERMIT q �Z�Z� <br /> INSPECTOR } DATE 1�,lq TANK a N 39 - lr728 W 'O f <br /> R RINSED (Y� METHOD --.- i RINSE AMOUNT f. <br /> . x � <br /> N RINSATE DISPOSAL SITE �- <br /> S <br /> E MANIFEST I -OR- OTHER <br /> V VAPORS PURGED ON) METHOD Ppq �� AMOUNT USED (j� <br /> A <br /> P G.E.L. READING AT REMOVAL (MUST BE <; 20$�) <br /> 0 <br /> T R COMMENTS — <br /> A } <br /> N TANK MATERIA (STEEL FIBERGLASS, OTHER) LTANK SI ZE <br /> K C <br /> / 0 TANK CONDITION OOD, POOR, HOLES) vvl iMrAcr or ct» omfoN No HDLs' <br /> P N ;r <br /> I S PIPE MATERIAL (STEEL, FIBERGLASS, OTHER)� N FEET NSF ; <br /> ' P T <br /> I PIPING CONDITION (GOOD, OLES)# --.I <br /> N <br /> G DEPTH SOIL TYPE OBSERVATION SAMPLE I <br /> T --3CLAYL a4w0S A pu&1i1awnbb) �— <br /> E K jmilk <br /> L <br /> } I�, c <br /> D EXCAVATION SIZE: JR5X ja X „1Q YDS OF SOIL: <br /> I A DEPTH SOIL TYPE OBSERVATION ;} I� ,..SAMPLE I <br /> N M P II <br /> S P I �M i <br /> P L P iK <br /> E I E �� <br /> C N 4' <br /> T G TRENCH DIMENSION X X YDS OF SOIL <br /> I <br /> a' H DEPTH TO G.W. : _�1 FT SAMPLING MET OD N005 Ygam)"'A)O <br /> N 2 <br /> 0 A OF HOURS SINCE DEWATERING: <br /> 0SAMPLE: <br /> OTHER <br /> ! I�. <br /> LABORATORY: �J,Q.�� SAMPLERS NAME: <br /> /! CLOSURE IN PLACE MIXTURE: /0/,+ } VOLUME: N/,o <br /> DRAW SITE MAP ON REVERSE <br /> Ell 2:1 04:1(7/88) <br />