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SJLIID — UNDERGROUND TANK CLOSURE/AltANDONMENT INSVEC'I'loN <br /> (SHADED AREA TO BE FILLED IN FOR THE FIRST TANK ONLY) <br /> . . . .... . . .. . . . . . . . . . . . . . . . . . . . . . . . . <br /> G r OWNER NAME c OWNER PHONE I <br /> E <br /> N CONTRACTOR CON. PllONEj <br /> - <br /> RSJLHD <br /> . . . . . . .PL*HIT I EPA I FIRE PERMIT I <br /> LINSPEC <br /> TOR DATE TANK 1 39 <br /> R RINSED AVD14) <br /> I — "Ir METHOD -R INSE AMOUNT <br /> N RINSATE DISPOSAL SITE <br /> S <br /> -OR- <br /> OTHER <br /> V VAPORS PURGED METHOD <br /> .A AMOUNT USED <br /> . P L.E.L. READING AT REMOVAL (MUST BE <- 20%) <br /> 0 <br /> T R COMMENTS <br /> A I - <br /> N TANK MATERIAL ST� <br /> FIBERGLASS, <br /> OTHER) TANK SIZE <br /> K c .. <br /> 0 TANK CONDITION (GOOD HOLES) <br /> P N /404- rsou <br /> 1 9 PIPE MATERIAL ,fS- TERL'*' FIBERGLASS, OTHER) M FEET <br /> P T <br /> I PIPING CONDITION (GOOD,, POOR.. HOLES ) <br /> N <br /> G T DEPTH SOIL TYPE OBSERVATION SAMPLE <br /> F A /y" -- — <br /> N <br /> L <br /> D EXCAVATION SIZE: ALL X '/o X <br /> EXCAVATION S17E- SOIL :YDS OF <br /> I A DEPTH SOIL TYPE OBSERVATION <br /> N M P SAMPLE <br /> S P <br /> P L P <br /> R <br /> CN .......... <br /> T G TRENCH DIMENSION X X <br /> YDS OF SOIL <br /> It DEPTH TO G.W. O. <br /> N 2 FT=F T SAMPLING METHOD <br /> russ <br /> 0 1 OF HOURS SINCE: DEWATERING: <br /> :— <br /> F-o OTHER SAMPLE: <br /> LABORATORY: <br /> ................ SAMPLERS NAME: <br /> CLOSURE IN PLACE MIXTURE:, VOLUME: <br />