Laserfiche WebLink
UNDERGROL";O -j ANK CLOSURE/ABANDCNMEN INSPECTION <br />(SHAOED AREA TO '.�FT-LLED IN FOR THE FIRST `. K ONLY) <br />— , , , , ....:5'/•,�0i.i, ".�crGc�r�i �i,.�Li/r,4%r,'i?%AD�/i/�l/. ; ;, ri'/�.�1�.,�i'�DAr?liZ'//�l.' .,�rr4.i,�rt4'li,Q/?.F�/i,�f/.�JP'/P�ff/i,�l�,�/�.`�iq <br />/lylyL'/WW/(I!!:!!///IUJUWIIIICVJf!!/b'/YIlIJUJUIUWIU/!/!YW/1/WWW+f!!1lY,f,'/L/L./l1,lYly�'//�'!!//L/lYui'WW!!/IUIU/UlU!!!/:/L'(L'!:/!.`1/YJY/UlYl�l://Y/U!!//1!L'!Lj <br />J 1 iVl�ll Hi.,ILJrl=Q 1... L I 7/ <br />!M a U a cic n J <br />CwNER NAME �a OWNER PHONE # 'Zo <br />CONTRA <br />CTOR Cr, s CON. PHGNE# } aCO _ 37G1- <br />r <br />C *c <br />4 S.7LHD PSRM I T # EPA # OCC660 3 6 Y FIRE PERMIT 4 � '� � Z <br />A / ` J✓L�J��✓I Y� 1:r�G/GILII� �!i Sr/�Iti /GJJr�./ �`� G G �i�.�l / ' � / ✓ G.F/515 L!� l✓�'1`'11r `L 1GU <br />L I milln rcT I,LU tar(C <br />INSPECTOR ` �' DATE/2_.Z7_ q/ TANK # 39 <br />R RINSED N) ME T HOD cgs /� I RINSE AMC NT <br />I <br />N RINSATE DISPOSAL SITE <br />✓►tceo45i <br />l <br />a <br />MANIFEST #f 6 -OR/- OTHER <br />V VAPORS PURGED O/N) ( METHOD dj� CL ( AMOUNT USED 6616 <br />k <br />A I <br />P I L. E. L. READING AT REMOVAL (MUST BE < 201/1-) L L L J UrZ . % I <br />T R i COMMENTS E <br />A <br />N i TANK MATERIAL S T FIBERGLASS, OTHER) I TANK S I Z E <br />K � C <br />i O i TANK CONDITION (GOOD, PCOR HOLES) I <br />N <br />+' S <br />",L <br />P I GE MATERIAL (STEEI , FIBERGLASS, OTHER) # FEET i <br />P i T <br />T_ i PIPING CONDITION (GOOD, POOR, HOLES) <br />N <br />G I I DEPTH SOIL TYPE OBSERVATION SAMPLE # i <br />T k <br />k A I 1 <br />N TK <br />E K C7• 5 // �►v A n <br />L <br />D EXCAVATION SIZE: 1S X `�U X /O YDS OF. SOIL: 74,>4,� <br />k S <br />I ! A DEPTH SOIL TYPE I OBSERVATION SAMPLE f <br />N M P <br />S P + I <br />G L ' P <br />E I i E ' k <br />C N <br />T G TRENCH DIMENSION X X YDS OF SOIL <br />I ' <br />0 H , DEPTH TO G.'W.: FT I SAMPLING METHOD <br />N .k <br />i I 0 ; # OF HOURS SINCE DEWATERING: <br />O OTHER SAMPLE: <br />! LABORATORY: l SAMPLERS NAME:�"��h <br />CLOSURE IN PLACE I MIXTURE: I VOLUME: �---� <br />:H 2Z04' (1o/85) DRAW S i TE MAA ON REVERSE <br />