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�. �✓ - IV U .w <br /> � } n ctuUNL 'TANK CLOSURE/ARAN NMEN'I' INSPEL"PION <br /> (SHADED J( M TO BE FILLED IN FOR THE &ST TANK ONLY) <br /> G < OWNER NAME OWNER PHONE # <br /> E <br /> NCONTRACTOR <br /> E CON. PHONE# <br /> �G�S <br /> R < SJLHD PERMIT # EPA # FIRE PERMIT # <br /> Li � . . . _ "� � . <br /> INSPECTOR �- l C l DATE glzl�� TANK # 39 <br /> R RINSED (Y,yr)J METHOD RINSE-7MUNT <br /> . I � -- <br /> N RINSATE DISPOSAL SITE <br /> S <br /> E MANIFEST # -OR- OTHER <br /> V VAPORS PURGED (Y/N) METHOD Cr1L ,�jzc{ 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 <br /> K TF,t1 E: _+ :� "'LaEL, FIB"GLASS' )OTHER TANK SIZE �y^ <br /> C <br /> / 0 TANK CONDITION (GOOD, POOR, H LES) <br /> P N <br /> I S PIPE MATERIAL (STEEL, FIBERGLASS, OTHER) # FEET <br /> P T <br /> I PIPING CONDITION (GOOD, POOR, HOLES) <br /> N <br /> G T DEPTH SOIL TYPE OBSERVATION SAMPLE # <br /> F A <br /> I N <br /> E K <br /> L <br /> D EXCAVATION SIZE: ���� <br /> S_ X ,L X `��� YDS OF SOIL : I - 5 <br /> I A DEPTH SOIL TYPE OBSERVATION <br /> N M p SAMPLE # <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 /> 0 DEPTH TO G.W. : <br /> N [2] FT SAMPLING METHOD <br /> # OF HOURS SINCE DEWATERING: <br /> Fol OTHER SAMPLE: <br /> LABORATORY: SAMPLERS NAME LF'iC- I <br /> �. <br /> CLOSURE IN PLACE MIXTURE• ✓ VOLUME: <br /> Ell 23 O0,13(7/88)(7/88) DRAW SITE MAP ON REVERSE <br />