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bills a ^- VN{ :GROUND TANK CLU"Ujjj-;y AltANlf 1•il:AiT 114:;V1:CTI UN � <br /> (SIfADF,D Al"-A <br /> TO BE FILLED IN FOR THE I T TANK ONLY) <br /> It <br /> Aliv <br /> G < OWNER NAME OWNER PHONE A <br />€ E ' <br /> N t CONTRACTOR CON. PHONEq ; <br /> E <br /> R ' SJL D PERMIT V EPA I FIRE PERMIT 1' <br /> L WHIP <br /> I NSPECTOR �� . DATE 2� TANK Y 39 - - �� <br /> R RINSED Y N) METHOD f[ r�N RINSE AMOUNT` <br /> I <br /> N RINSATE DISPOSAL SITE <br />- S <br /> E MANIFEST MZ -OR- OTHERIN <br /> A V VAPORS PURGED N) METHOD AMOUNT USEpq)2�/yS <br /> P L.E.L. READING AT REMOVAL (MUST BE < 20%) <br /> 0 D QZ <br /> T R COMMENTS <br /> A <br /> N TANK MATERIAL (STEEL FIBERGLASS, OTHER) TANK SIZE 0 <br /> K C <br /> / O TANK CONDITION (GOOD �POOHOLES) of � �U>'!'OSJivn pj� <br /> P N <br /> I S PIPE MATERIA (STEEL, FIBERGLASS, OTHER) I FEET <br /> P T <br /> I PIPING CONDITION (GOOD, POOR, HOLES) <br /> N <br /> G T DEP OIL iTOYP E OBSERVATION S NP <br /> F A b°Se.t V._-c ap.. 02 89'9+ <br /> I No O CTZ � <br /> E K <br /> L <br /> D EXCAVATION SIZE: �Jy X Z9 X �Z� YDS OF SOIL;: <br /> s: <br /> I A DEPTH SOIL TYPE OBSERVATION SAMPLE <br /> N M P <br /> f SP I <br /> P L P <br /> E I E <br />[ C N <br /> E T G TRENCH DIMENSION X X YDS OF SOIL! <br /> O H DEPTH TO C.W. : FT SAMPLING METH D <br /> N 2 <br /> 0 I OF HOURS SINCE DEWATERING: <br /> 0 OTHER SAMPLE: / <br /> LABORATORY: SAMPLERS NAMF„j L <br /> CLOSURE IN PLACE MIXTURE: I A _T 4JVOLUME: <br /> DRAW SITE MAP ON TtEVERSE <br /> 1:11 2:1 04:1(7/88) <br />