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SJLHD — UNDERGROUND 'TANK CLOSUCtE/AlAANDONMENT I NSYEI:'1'1 UN <br /> (SHADED AREA TO BE FILLED IN FOR THE FIRST TANK ONLY) <br /> G r OWNER NAME <br /> OWNER PHONE ,. <br /> N CONTRACTOR �iw/ CON. PHONEN - , <br /> E <br /> R SJLHD P MIT I EPA 1 FIRE PERMIT IA infa . . . . . . . . . . . . . . . . . . . . . . . 6 <br /> INSPECTOR ��, L DATE TANK M 39 6 — <br /> R RINSED <br /> I �N� METHOD RINSE AMOUNV'�J.�SSy <br /> N RINSATE DISPOSAL SITE - — <br /> E MANIFRST M —OR— OTHER <br /> • V VAPORS PURGED 1 /N) METHOD c%Y '`� AMOUNT USED Z-14slll <br /> .P L.E.L. READING AT REMOVAL (MUST BE < 20%) <br /> 0 <br /> T R COMMENTS <br /> A <br /> N TANK MATERIA SSTEE , FIBERGLASS, OTHER) TANK SIZE <br /> K C S C) <br /> PN TANK CONDITION (GOOD, POOR - HOLES) <br /> j 8 PIPE MATERIAL " STEED.-PIBERGLASSo OTHER) <br /> P T M FEET <br /> I PIPING CONDITION (GOOD, (PO_OR.* HOLES) <br /> N <br /> G DEPTH SOIL TYPE OBSERVATION SAMPLE Q <br /> T <br /> F A 'L7 <br /> c Fi�.-t vz <br /> I N <br /> E K <br /> L <br /> D EXCAVATION SIZE: X X YDS OF SOIL: <br /> 9; <br /> I A DEPTH SOIL TYPE OBSERVATION <br /> N M P SAMPLE <br /> S P I �� <br /> P L Pte. <br /> E I <br /> C N _. <br /> T G TRF1NC" DIMENSION X X YDS OF SOIL <br /> I <br /> i O H DEPTH TO G.M <br /> N 2 . : FT SAMPLING METHOD <br /> 0 M OF "OURS SINCE DEWATERING: J <br /> 0 OTHER SAMPLE: <br /> i <br /> LABORATORY: �C/ SAMPLERS NAME <br /> CLOSURE IN PLACE MIXTURE:, VOLUME: <br />