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SJLHD - UNDERGPOUND TANK I:LUSulCb/lfgylvuvi.r+�. ' � ++ .+� •"' -"•• <br /> (SHADED AREA. BE FILLED IN FOR THE FIR TANK ONLY) <br /> G OWNER A E 7/P OWNER PHONE <br /> E <br /> N CONTRACTORS -rb-v CON . PHONE# �O5 y6� <br /> R < SJLHD PERMIT # — EPA # FIRE PERMIT <br /> A <br /> L — <br /> INSPECTOR -rlS4 RC=S DATE TANK # 39 <br /> R RINSED (YAP I METHOD RINSE AMOUNT <br /> I <br /> N RINSATE DISPOSAL SITE <br /> S <br /> E MANIFEST # -OR- OTHER <br /> V VAPORS PURGED Y N) METHOD 1 AMOUNT USED a <br /> A C� <br /> P L .E.L . READING AT REMOVAL (MUST 9JE < 20%) N� <br /> 0 <br /> T R COMMENTS j!o L <br /> A <br /> N TANK MATERIAL TEEL FIBERGLASS, OTHER) TANK SIZE /X Vl <br /> K C p�cC.r K S�"cGvyt, .Cl 7`�ri/�S <br /> / O TANK CONDITION (GOOD, POOR; HOLES ) <br /> P N <br /> I S PIPE MATERIALSTEEL; FIBERGLASS, OTHER) # FEET <br /> P T J <br /> I PIPING CONDITION (GOOD, 00 , HOLES ) �C �cZ <br /> N <br /> G DEPTH SOIL TYPE OBSERVATION SAMPLE # <br /> T <br /> F A <br /> I N <br /> E K Le FY cct u cel* J <br /> L <br /> D EXCAVATIO SIZX X � YDS OF SOIL : <br /> S ' <br /> I A DEPTH SOIL TYPE OBSERVATION SAMPLE # <br /> N M P <br /> S P I <br /> P L P <br /> E I E <br /> C N <br /> T G TRENCH DIMENSION — X r X YDS OF SOIL ( fD7 S <br /> I r'St•//� cuv <br /> FT <br /> 0 H DEPTH TO G.W. : SAMPLING METHOD 0'7 <br /> N 2 <br /> 0 # OF HOURS SINCE DEWATERING:/vA <br /> ❑O OTHER SAMPLE: <br /> LABORATORY: (/ �G�� qi SAMPLERS NAME: <br /> CLOSURE IN PLACE MIXTURE: VOLUME: <br /> DRAW SITE MAP ON REVERSE <br />