Laserfiche WebLink
•� -gyp �p <br /> S� C. �9i�7dY�9 LFY��KY�ii«FY��K9lhF � Y���FYaL . t�6�dYr l: 1' srrrrrrrrr <br /> 17 , CI IFlru t S76 cic f-6 <br /> G OWNER NAMEOWNER PHONE # _ <br /> E ��c fC' (�l (p <br /> N < CONTRACTOR CON. PHONE# r'/� U�(}� <br /> R SJLHD PERMIT # EPA # FIRE PERMIT # <br /> A i <br /> L <br /> INSPECTOR \� TE IQ 1 TANK # 39 06613 <br /> R RINSED (Y/ )� METHOD RINSE AMOUNT <br /> I i <br /> N RINSATE DISPOSAL SITE <br /> S Ll a... <br /> E MANIFEST # 1 -OR- OTHER <br /> V VAPORS PURGED &YN) METHOD �� (�- AMOUNT USED 1 bS <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 ( TEE ; FIBERGLASS, OTHER) TANK SIZE <br /> K C <br /> / 0 TANK CONDITION (`GOOD,.' POOR, HOLES ) <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 DEPTH SOIL TYPE OBSERVATION SAMPLE # <br /> T 01 <br /> I N <br /> E K <br /> L <br /> D EXCAVATION SIZE: L X 6,f) X S '( 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 /> 0 H DEPTH TO G.W. : FT SAMPLING METHOD <br /> N 2 <br /> 0 # OF HOURS SINCE DEWATERING: <br /> OTHER SAMPLE: <br /> 1-011 <br /> LABORATORY: SAMPLERS NAME: <br /> CLOSURE IN PLACE MIXTURE: VOLUME: <br /> DRAW SITE MAP ON REVERSE <br />