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lEIWi iv S # 116 p (r . vTR Cf„g N (1f <br /> E < OWNER NAME i/� _ _ ,e OWNER PHONE M /� 7S�/ <br /> G pN V /V 7 <br /> ECONTRACTORO L E(Ztl fin✓ G� CON. PHONE# <br /> R < SJLHD PERMIT # EPA # FIRE PERMIT # <br /> A <br /> L <br /> INSPECTOR DATE4, G �� TANK # 39 - — <br /> R RINSED (Y/N) H HOD <br /> I RINSfi AMOUNT <br /> (� <br /> \1 S RINSATE DISPOSAL SITE <br /> E MANIFEST # -OR- OTHER <br /> N <br /> (� AV VAPORS PURGED (Y/N) METHOD AMOUNT USED <br /> ` I P L.E.L. READING AT REMOVAL (MUST BE < 20%) bJ <br /> V 0 <br /> T R COMMENTS n <br /> A K <br /> N TANK MATERIAL STEE FIBERGLASS, OTHER) TANK SIZ1411, <br /> K C <br /> / 0 TANK CONDITION (GOOD; P00 , OLES <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 <br /> F A <br /> I N t S <br /> E K <br /> i` L <br /> D EXCAVATION SIZE: �X iC_O X 9� YDS OF SOIL: �yQ <br /> t <br /> S_ <br /> 1 I A DEPTH SOIL TYPE OBSERVATION SAMPLE q <br /> d 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 <br /> I YDS OF SOIL <br /> 1y — <br /> 0 H DEPTH TO G.W. : FT SAMPLING METHOD <br /> N 2 <br /> 02 # OF HOURS SINCE DEWATERING: <br /> aOTHER SAMPLE: <br /> LABORATORY: SFUdiA—fEDWOOD G SAMPLERS NAME: <br /> rrzGo MncK <br /> CLOSURE IN PLACE MIXTURE: VOLUME: <br /> DRAM SITE MAP ON REVERSE <br /> Coply <br />