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SJLHD - UNDF4`' `tOUND TANK CLOS URJ /AILANDd -NTI N:UJECT l UN ��, ,� �,_F; <br /> (SHADED Mw) IVO. 'ITE FILLED IN FO1i Ttr,C FI1zST TANK OnLY) <br /> [E G .1'c .OWNER NAME -�- OWNER PHONE V <br /> o <br /> N � CONTRACTORS CON. PHONE ' <br /> E Zorj - ' �'�'- 3 : <br /> =-- <br /> Ct SJLHD PERMIT EPA p SFIRE PERMIT �1 } <br /> � r <br /> INSPECTOR DATE ��Z TANK tl 39 <br /> FERINSEDMETHODMETHOD f RINSE 'AMOUNT <br /> RINSATE DISPOSAL SITE <br /> MANIFEST 0 -OR- OTHER <br /> AV VAPORS PURGED Y/ ) METHOD 1j AMOUNT USED <br /> P L.E.L. READING AT REMOVAL ( ;UST BE < 201) 'L ` <br /> T I R COMMENTS <br /> 1 A <br /> N TAMC MATERIAL TEFL FIBERGLASS, OTHER} TANK SIZE ::� . <br /> K C <br /> / 0 TANK CONDITION GOOD? POOR, HOLES) <br /> P N <br /> I S PIPE MATERIAL (STEEL'', FIBERGLASS, <br /> OTHER) # FEET <br /> P T _� I �� 1� ---- i <br /> I PIPING CONDITION: '(GOOD� POOR, HOLES) <br /> N <br /> G DEPTH SOIL. TYPE OBSERVATION SAMPLE <br /> T <br /> L <br /> D EXCAVATION SIZE: X % f X YDS OF SOIL• <br /> I A DEPTH SOIL 1°TYPE .' OBSERVATION SAMPLE <br /> N M P <br /> P L P <br /> E I E <br /> C N <br /> T G TRENCH DIMENSION.: X X YDS OF SOIL <br /> I <br /> O H DEPTH TO G.W. : � FT SAMPLING METHOD <br /> N 2 <br /> L <br /> 0 1 OF HOURS SINGEDEWATERING: <br /> 0 f OTHER SAMPLE: F <br /> LABORATORY SAMPLERS NAME:; #- <br /> CLOSURE IN PLACE MI"XT.URF: J—VOLUME: ! <br /> DRAW SITE MAP ON REVERSE <br />