Laserfiche WebLink
PUBLSc rs <br /> I <br /> ADDRSS <br /> EI�Ct� � � <br /> SITE NAME Sl 151��" <br /> OWNER NAME .SC.15D (OWNER PHONE <br /> CONTRACTOR r�0,01G S (CONT. PHONE <br /> II <br /> FIRE PERMIT # –311 <br /> CLOSURE IN PLACE TEMPORARY CLOSURE <br /> REMOVAL -v <br /> INSPECTOR <br /> DATE TANK 39 Jul — <br /> v METHOD RINSE AMOUNT <br /> U R RINSED (Y/N) <br /> NRINSATE DISPOSAL SITE r <br /> S OR OTHER <br /> E I <br /> MANIFEST # <br /> N METHOD AMOUNT USED <br /> V VAPORS PURGED (Y/N) i <br /> G� L{ °/ <br /> p READING AT REMOVAL L.E.L. : <br /> O <br /> R COMMENTS <br /> C TANK MATERIAL TE FIBERGLASS, OTHER) ` <br /> 0 Lo`rU`Osio-� � No /apo�rc.�l- ndcs i <br /> N TANK CONDITION (GOOD, 00 HOLES) <br /> i <br /> S <br /> T PIPE MATERIAL (STEEL, FIBERGLASS, OTHER), FEET <br /> i <br /> n Q.LIAu <br /> k hcuco �" <br /> PIPE CONDITION (GOOD, POOR, HOLES) Uk +ww, <br /> DEPTH SOIL TYPE (OBSERVATION <br /> SAMPLE <br /> T P <br /> A i <br /> N <br /> R I <br /> S EXCAVATION SIZE X <br /> X �I�YDS OF SOIL <br /> ASAMPLE <br /> M DEPTH SOIL TYPE (OBSERVATION <br /> P Pkn d <br /> L I ' <br /> j I P <br /> N E Y <br /> G YDS OF SOIL <br /> TRENCH DIMENSION X X <br /> 0 <br /> i <br /> DEPTH TO G.W. : FT. SAMPLING METHOD <br /> i H <br /> �° <br /> 2 HOURS SINCE DEWATERING: <br /> 0 <br /> t <br /> OTHER SAMPLE: d <br /> LABORATORY: <br /> SAMPLERS NAME: <br /> �i <br /> VOLUME: <br /> MIXTURE: <br /> i CLOSURE IN PLACE I <br /> j <br /> EH 23-0043 (REV 2/23/94) PROVIDE SITE MAP <br /> I <br />