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SJLHD — UNDh'�. ) ~'JND 'TANK CLOSURE/AlIANDU INaI'LC:'1'l UN ` <br /> (SHADED AR TO BE FILLED IN FOR T!!E FY T TANK ONLY) <br /> G OWNER NAME -11 OWNER PHONE, p <br /> E ` <br /> N CONTRACTOR :PCON.CON. PHONE M ' <br /> E <br /> R t SJLHD PERMIT I EPA' l FIRE PERMIT II <br /> L <br /> INSPECTOR DATE TANK 1 39 <br /> R RINSED N) METHOD `a RINSE AMOUNT <br /> I ,a <br /> N RINSATE DISPOSAL SITE <br /> S <br /> E MANIFUT IF -OR- OTHER <br /> V VAPORS PURGED CT N) METHOD/9/;fJ:eAMOUNT USED <br /> •A <br /> P L.E.L. READING AT REMOVAL (MUST BE < -20%) <br /> 0 <br /> T R COMMENTS <br /> A <br /> N TANK MATERIAL STEEL FIBERGLASS, OTHER) TANK SIZE <br /> K C <br /> / 0 TANK CONDITION (GOOD, POOR, HOLES) <br /> P N <br /> I S PIPE MATERIAL (STEEL, FIBERGLASS, OTHER) II FEET <br /> P T <br /> I PIPING CONDITION (GOOD, POOR, HOLES) <br /> N <br /> G DEPTH SOIL TYPE OBSERVATION SAMPLE II <br /> T <br /> F A <br /> I N <br /> E K <br /> D EXCAVATION SIZE: �3 X -3-0- XYDS OF SOIL: ,'O <br /> E $: <br /> I A DEPTH SOIL TYPE OBSERVATION. SAMPLE IF <br /> N M 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 /> O H DEPTH TO G.N. : FT SAMPLING METHOD , <br /> N 2 <br /> 0 I OF HOURS SINCE DEWATERING: <br /> 7 OTHER SAMPLE: <br /> LABORATORY: SAMPLERS NAME: <br /> CLOSURE IN PLACE MIXTURE: VOLUME: <br /> DRAW SITE MAP ON REVERSE <br /> III 2J 04'1(7/88) <br />