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SJLHD - UNDERGROUND 'TANK CLOSURE/AUANDONMLNT I NSL Ec—I•l UN <br /> (SHADED AREA TO BE FILLED IN FOR THE FIRST TANK ONLY) <br /> Q OHNER NAME <br /> OWNER PHONE 0 1. <br /> N CONTRACTOR ,� �/� CON. PHONED <br /> R SJLHD P HIT 0 EPA 0 FIRE PERMIT <br /> INSPECTOR �,per DATE TANK 0 39 - _ //��i - p/ <br /> R RINSED ,d�N) METHOD '�s/��/�� NSE ANOUNT�J S - <br /> I S <br /> N RINSRTE DISPOSAL SITE <br /> ,�' 9 <br /> S <br /> E MANIFEST 0 -OR- OTHER <br /> AV VAPORS PURGED ) METHOD " AMOUNT USED e-0 <br /> •P G.E.L. READING AT REMOVAL (MUST BE <v20%) <br /> 0 <br /> T R COMMENTS <br /> A <br /> N TANK MATERIALSTEE , FIBERGLASS, OTHER) TANK SIZE <br /> K C S,000 <br /> / O TANK COND17'YON (GOOD P R, 5HOLES) /-�/� /�' <br /> P N <br /> ;gyp : T PIPE MATERIAL S , FIBERGLASS, OTHER) 0 FEET <br /> I <br /> N PIPING CONDITION (GOOD, POOR, HOLES) <br /> G T DEPTH SOIL TYPE OBSERVATION SAMPLE 0 <br /> F <br /> I N <br /> E K <br /> L <br /> D EXCAVATION SIZE: Ell j�� <br /> S: X /0 X ,-o YDS OF SOIL: Z0vY <br /> I A DEPTH SOIL TYPE OBSERVATION SAMPLE 0 <br /> .N N P <br /> S P I - <br /> P L P <br /> E I E <br /> C N <br /> T G TRENCH DIMENSION X X YDS OF SOIL <br /> I <br /> r 0 H DEPTH TO G.H. : <br /> �T FT ShNPLING METHOD <br /> i N 2 �russ k' <br /> 0 0 OF HOURS SINCE DEHATERING: <br /> 0 OTHER SAMPLE: <br /> LABORATORY: �G/ SAMPLERS NAME: <br /> CLOSURE IN PLACE MIXTURE:, VOLUME: <br />