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S.JLHD - UND4 ~y'JNA TANKCLOSUF{E/AiIrtNDI' <br /> (SHADED AR TO BE FILLED IN FOR THE F ST TANK ONLY? y <br /> G , e OWNER NAME f OWNER PHONE A 9 �yr <br /> E p ' <br /> N CONTRACTOR _cf ��C �^/� CON. PHONEN ' <br /> RSJLHD PERMIT EPA A FIRE PERMIT I <br /> A ' i � � � <br /> L �� � � I N <br /> I NSPECTO DATE 3 /� TANK 1 39 <br /> R RINSED /N) METHOD Baa RINSE AMOUNT�� <br /> . I <br /> N RINSATE DISPOSAL SITE <br /> S <br /> E MANIFEST I —OR—. OTHER <br /> V VAPORS PURGED a (Y/ ) METHOD AMOUNT USED <br /> •A <br /> p L.E.L. READING AT REMOVAL (MUST BE C 20%) <br /> O <br /> T R COMMENTS <br /> A <br /> N TANK MATERIAL (STEE FIBERGLASS, OTHER) TANK SIZE <br /> K C <br /> / 0 TANK CONDITION (GOOD, POOR, HOLES) <br /> P N <br /> I SPIPE MATERIAL (STEEL, FIBERGLASS, OTHER) I FEET <br /> P T <br /> I PIPING CONDITION (GOOD, POOR, HOLES) <br /> N <br /> G DEPTH SOIL TYPE OBSERVATION SAMPLE # <br /> T <br /> F A <br /> I N <br /> E K <br /> L <br /> D EXCAVATION SIZE: . X X YDS OF SOIL: <br /> s: <br /> I A DEPTH SOIL TYPE OBSERVATION SA PLE I <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 /> 0 H DEPTH TO G.W. : FT SAMPLING METHOD <br /> N 2 <br /> 0 I OF HOURS SINCE DEWATERING: <br /> I ❑O OTHER SAMPLE: <br /> LABORATORY: --T-` SAMPLERS NAME: <br /> CLOSURE IN PLACE MIXTURE: VOLUME: <br /> 4 <br /> DRAW SITE NAP ON REVERSE <br /> 1111 23 04:1(7/88) <br />