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SJLHD - UNDER -°.OUND TANK CLOSURE/ ABANDONMENT INSPECTION <br /> ( SHADED AREA QBE FILLED IN FOR THE FI1( ^ANK ONLY ) <br /> polls laamillbsselill <br /> I i <br /> G OWNER NAME OWNER PHONE # <br /> E 6 <br /> N CONTRACTOR CON . PHONE # <br /> EON Sc�v� <br /> R t SJLHD PERMIT # EPA # FIRE PERMIT # ` <br /> A Nil 41 <br /> L — <br /> INSPECTOR row DATE 8 ZS TANK # 39 <br /> RRINSED ( Y/to METHOD RINSE AMOUNT <br /> I <br /> N RINSATE DISPOSAL SITE <br /> S <br /> E MANIFEST # - OR - OTHER <br /> V VAPORS PURGED ( Y/ ) METHOD �� / j C� 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 IM TANK MATERIAL ( STEEL , FIBERGLASS , OTHER ) TANK SIZE ATec SO1 <br /> K C <br /> / 0 TANK CONDITION ( GOOD RJ HOLES ) no ccrrcs' on rct c) Yc hcl¢5 <br /> P N <br /> I S PIPE MATERIAL (STEE , FIBERGLASS , OTHER ) # FEET <br /> P T <br /> I PIPING CONDITION ( GOOD , POOR , HOLES ) <br /> N <br /> G DEPTH SOIL TYPE OBSERVATION SAMPLE # <br /> T <br /> F A <br /> I N <br /> N o s ar x <br /> E K <br /> D EXCAVATION SIZE : X � X YDS OF SOIL : C ( oX S dS <br /> S <br /> I A EPTH OIL 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 /> 0 OTHER SAMPLE : <br /> LABORATORY : SAMPLERS NAME : <br /> CLOSURE IN PLACE MIXTURE : VOLUME : <br /> i <br /> DRAW SITE MAP ON REVERSE O <br />