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PL S _ 4k s <br /> G OWNER NAME M eSkn ,_ OWNER PHONE # J3 <br /> E <br /> N CONTRACTOR5� �O CON. PHONE# <br /> E — <br /> R SJLHD PERMIT # EPA # FIRE DEPT <br /> A <br /> L _ <br /> SJLHD INSPECTOR TANK # 39 - - <br /> R RINSED (Y/N) METHOD RINSE AMOUNT <br /> I ' <br /> N RINSATE DISPOSAL SITE <br /> E MANIFEST # -OR- OTHER <br /> V VAPORS PURGED (Y/N) METHOD AMOUNT USED <br /> A <br /> P L.E.L. READING AT REMOVAL (MUST BE < 208)- <br /> T R COMMENTS _ 6 <br /> A - <br /> N TANK MATERIAL (STEEL, FIBERGLASS, OTHER) TANK SIZE j OD <br /> K., C <br /> / 0 TANK CONDITION (GOOD, POOR, HOLES ) ( J <br /> P N <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 a <br /> IN - —--- — -- ----- <br /> E K - Gd <br /> F D EXCAVATION SIZE: / �6/ YDS OF SOIL : <br />'. S 111 <br /> I A DEPTH SOIL TYPE OBSERVATION SAMPLE # <br /> NM P — _.. . .. ........ - ------ .._.. - <br /> S P I --- <br />{ P L P - -._. -------- <br /> C N <br /> T G TRENCH DIMENSIONS: YDS OF SOIL: �g <br /> t I <br /> 0 H DEPTH TO c.w. : y FT-14-1SAMPLING METHOD <br />{ N 2 — ._..__ -_-- -------------._._..______.__. <br />{ 0 # OF HOURS SINCE DEWATERING: —7 <br />]! ❑0 OTHER SAMPLE: <br /> LABORATORY: SAMPLERS NAME: <br /> CLOSURE IN PLACE MIXTURE: VOLUME: <br /> DRAW SITE MAP ON REVERSE <br />