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.F ��1�L•���1'�{l� Vla.v� ��6K'�'o 00��7Y• UU(IGJJ �•� ��� <br /> �S o CONN, C/UM 7014�1� <br /> G 4 OWNER NAMEOWNER PHONEE E CONTRACTOR�L��� ✓C CON. PHONE#R SJLHD PERMIT 1 d� / EPA # FIRE PERMIT # <br /> A <br /> L <br /> I NSPECTO DATE Q �� TANK 1 39 - / 7,90 <br /> - <br /> R RINSED (YIN) H THOD RINSE AMOUNT <br /> I <br /> N RINSATE DISPOSAL SITE <br /> S <br /> E MANIFEST 1 -OR- OTHER <br /> ^� VA VAPORS PURGED (YIN) METHODC� AMOUNT USED <br /> � \ P L.E.L. READING AT REMOVAL (MUST BE < 20$) <br /> 0 <br /> T R COMMENTS <br /> A <br /> M N TANK MATERIAL (STEEL, FIBERGLASS, OT/{ER) TANK IZE 6L Q <br /> K C <br /> /PLI <br /> TANK CONDITION (GOOD POOR, HOLES ) <br /> I <br /> PIPE MATERIAL (STEEL, FIBERGLASS, <br /> P <br /> OTHER) # FEET <br /> JPIPING CONDITION (GOOD, POOR, HOLES) <br /> N <br /> G DEPTH SOIL TYPE OBSERVATION SAMPLE # <br /> T <br /> F A N <br /> I N <br /> E K <br /> D EXCAVATION SIZE: X X ID YDS OF SOIL : <br /> S- <br /> (j 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 H [DEOPFTH <br /> TO G. FT SAMPLING METHOD <br /> N 2 <br /> 0 HOURS SINCE DEWATERING: <br /> ❑O OTHER SAMPLE: <br /> LABORATORY: d L�� SAMPLERS NAME: AP hl <br /> CLOSURE IN PLACE MIXTURE: (y <br /> DRAW SITE NAP ON REVERSE <br />