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S,JLHD - UNDEr"ROUND TANK CLOSURE/AlLJ Wr <br /> ND -' T IN!;LlL ,v <br /> ciuj4 <br /> (SHADED AR,-- SFO BE FILLED ni FORIff OHL Y) <br /> THE FA T TA <br /> JIM <br /> T15- <br /> G OWNER NAME OWNER PHONE E <br /> N CONTRACTOR <br /> LC:07NPHZNE; <br /> E <br /> R SJLHD PERMIT 0 EPA I <br /> AFIRE PERMIT '# <br /> ij <br /> WI <br /> L I RNl w <br /> INSPECTODATE �2 <br /> TANK 1, 39 <br /> I <br /> JR <br /> RINSED (Y/N) METHOD <br /> R I RINSE AMOUNT <br /> r <br /> N N <br /> RINSATE DISPOSAL SITE <br /> E MANIFEST I -OR <br /> OTHER <br /> AV VAPORS PURGED (Y/N) METHOD AMOUNT USED <br /> P L.E.L. READING AT REMOVAL (MUST BE' < 20$x) <br /> 0 <br /> T R COMMENTS <br /> A <br /> N TANK MATERIAL �STEELvJFIBERGLASS, OT i HER)II TANK SIZE: <br /> K C <br /> 0 TANK CONDITION C(GO!,D) POOR, HOLES) <br /> P N <br /> P <br /> I S PIPE MATERIAL ��E FIBERGLASS? OTHER)' I FE <br /> T ET <br /> N PIPING CONDITION (GOOD, POOR, HOLES). <br /> G DEPTH SOIL TYPE OBSERVATION <br /> T h SAMPLE <br /> F A <br /> I N <br /> E K Ib <br /> D EXCAVATION SIZE: X X <br /> 3. YDS OF SOIL: <br /> I A" DEPTH N M P SOIL TYPE OBSERVATION SAMPLE <br /> IS P I <br /> P L P <br /> E I. _ EC <br /> N <br /> I <br /> G. TRENCH DIMENSION X X YDS OF SOIL <br /> 0 H DEPTH To G.W. : FT SiMPLI" <br /> N 1� ING METHOD . <br /> 2 <br /> 0 1 OF HOURS SINCE DEWATERING: <br /> :,AMPLE: <br /> .1k <br /> LABORATORY: SAMPLERS NAME <br /> CLOSURE IN PLACE MIXTURE: VOLUME: <br /> L t <br /> DRAW SITE MAP ON REVERSE <br /> Ell 23 0,13(7/88) <br />