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SJLHD - UN 'GROUND 'TANK CLO:;URL•'/AUN ENT INSYEC'1'!UN <br /> SHADED Al TO BE FILLED IN FOR THE�ST TANK ONL Y) <br /> G OWNER NAME <br /> EOWNER PHONE ' <br /> : <br /> N CONTRACTOR CON. PHONEY <br /> R SJLHD PERMIT <br /> A EPA FIRE PERMIT V .41 �^ <br /> f ktis.. <br /> INSPECTOR G �uou DATE $ TANK @ 39 <br /> J <br /> R RINSED(g>N) METHOD <br /> I �, RINSE AMOUNT <br /> S RINSATE DISPOSAL SITE <br /> Pc S <br /> E MANIFEST Y C',47OrrU(7 7 � -OR- <br /> OTHER <br /> VA VAPORS PURGED N) [: <br /> METHOD p AMOUNT USED <br /> P L.E.L. READING AT REMOVAL (MUST BE < 20%) <br /> L. E 4a <br /> T R COMMENTS . I/Z <br /> A <br /> N TANK MATERIAL ( STEE FIBERGLASS, OTHER) TANK SIZE <br /> K C <br /> / 0 TANK CONDITION (GOOD POOR, HOLES) <br /> P N <br /> I S PIPE MATERIAL (STEEL FIBERGLASS, OTHER) E# FEET <br /> H <br /> J P T Fly <br /> I PIPING CONDITION (GOOD, POOR, HOLES) <br /> N <br /> G DEPTH SOIL TYPE OBSERVATION <br /> T SAMPLE <br /> F A /O C!ah e �c ndc� o/•Y�rNrsf. i'a 2 i <br /> I N 5-v�,� aa�or . A, .h d' 7- <br /> E K <br /> L <br /> D 3EXCAVATION SIZE: X qr X YDS OF SOIL: <br /> 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 C TRENCH DIMENSION X X <br /> I YDS OF SOIL <br /> 0 H DEPTH TO G.W. : <br /> N 2 FT SAMPLING METHOD <br /> 0 d OF HOURS SINCE DEWATERING: <br /> aOTHER SAMPLE: <br /> LABORATORY:. � SAMPLERS NAME: <br /> CLOSURE IN PLACE MIXTURE: VOLUME: <br /> DRAW SITE MAP ON REVERSE <br />