Laserfiche WebLink
'� NN 7 CCS <br /> .G Gfi <br /> G < OWNE� AH✓ OWNER PHONE # <br /> E T= <br /> E < CONTRACTOR <br /> elz / Ft�C✓�C CON. PHONE# <br /> R < SJLHD PERMIT { EPA # FIRE PERMIT # (J <br /> A <br /> L <br /> INSPE T DATE/Q 6 TANK # 39 _ �- <br /> R RINSED, Y/ ) METHOD ze RINSE AMOUNT <br /> 3 RINSATE DISPOSAL SITE <br /> IZ3 E MANIFEST # -OR- OTHER <br /> b V VAPORS PURGED (Y/N) METHODAMOUNT USED /� <br /> A C <br /> P L.E.L. READING AT REMOVAL (MUST 4E < 20%) <br /> 0 <br /> T R COMMENTS <br /> A <br /> J N TANK MATERIAL ( <br /> K C STE , FIBERGLASS, OTHER) TANK SIZE <br /> PN TANK CONDITION (GOOD, POOR, HOLES) Sin Q4uti <br /> I S PIPE MATERIAL (STEEL, FIBERGLASS, OTHER) # FEET <br /> P T <br /> v I PIPING CONDITION (GOOD, POOR, HOLES) <br /> N <br /> G DEPTH SOIL TYPE OBSERVATION SAMPLE # <br /> T <br /> �a F A — � <br /> I N N <br /> E K <br /> V L <br /> D EXCAVATION SIZE: X X f--� YDS OF SOIL : <br /> S- <br /> \ I A DEPTH SOIL TYPE OBSERVATION SAMPLE # <br /> N M P <br /> �Rl S P I <br /> P L P <br /> E I E <br /> C N <br /> T G TRENCH DIMENSION XX 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 /> aOTHER SAMPLE: <br /> LABORATORY: G7� SAMPLERS NAME 0. <br /> CLOSURE IN PLACE MIXTURE: VOLUME: <br /> DRAW SITE t4iP ON REVERSE P T <br /> U <br />