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!i SJLHD - UNDERGROUND ST'"✓'mss TANK CLOSURE/ABANDONMT� INSPECTION CHECKLIST ' <br /> (SHADED AREk_ BE FILLED IN FOR THE FIT`fANK ONLY) <br /> i G ;'5 <br /> 3/7f_ _ OWNER PHONE # S3� <br /> E _ <br /> N � o CON. PHO # ?� sZ 1�C e,s3 <br /> E -�7 53s--1 <br /> R T # EPA # FIRE PT 7 � LALECTOR TANK # 39 / - _ � <br /> R RINSED (Y/N) METHOO AMOUNT T <br /> I �- <br />#'#i N RINSATE DISPOSAL SITE <br /> E MANIFEST # -OR- OTHER <br />�. <br /> V VAPORS PURGED (Y/N) METHOD D2y C� AMOUNT <br /> I A <br /> PL.E.L. READING AT REMOVAL (MUST BE < 208) <br /> O <br /> T R COMMENTS <br /> N TANK MATERI (STEEL, FIBERGLASS, OTHER) TANK SIZEbo tj 0 <br /> K C e <br /> / 0 TANK CONDITI , POOR, HOLES ) !;Q -G �- ap ho)CS <br /> PN --- --- ----- -- -- ---- <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 LA v No <br /> I N <br />+ E K) / <br /> D I EXCAVATION SIZE: 6 X ! X YDS OF SOIL: �S <br /> S <br /> I A DEPTH OIL TYPE OBSERVATION SAMPLE # <br /> N M - - _. - ----- <br /> S P <br /> PL ...--- — ----- ----- <br /> E I <br /> 4 C N <br /> I T G TRENCH DIMENSIONS : YDS OF SOIL: <br /> I <br /> 0 H DEPTH TO G.W. : MPLING METHOD <br /> 1 N 2 <br /> 0 # OF HOURS SINCE DEWATERING: <br /> ❑O OTHER SAMPLE: <br /> LABORATORY: `� G✓,��L SAMPLERS NAME: <br /> i CLOSURE IN PLACE MIXTURE: VOLUME: <br /> L <br /> ! DRAW SITE MAP ON REVERSE <br />( <br />