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SJLHD — UN C (GROUND TANK CL.U;;UftE/AltAN ��.lil,lil' ItJ:;Y1:C'1'lUN � <br /> r. (SHADED A� A TO BE FILLED IN FOR Tur,QRST TANK ONLY) <br /> = � � ' <br /> G OWNER NAME OWNER PHONE # c <br /> E �? <br /> N CONTRACTOR CON. PHONE# - <br /> E <br /> R SJLH PERMIT b EPA I FIRE PERMIT I <br /> INSPECTODATE [S-11 -92, 1 TANK Y 39 - - <br /> R RINSEDY N) METHOUrTy �,Q, RINSE AMOUNT' <br /> I <br /> - I IE�l <br /> N RINSATE DISPOSAL SITE q <br /> S <br /> E MANIFEST I ZQ Z�_. -OR- OTHER <br /> V VAPORS PURGED (Y�N) METHOD y� AMOUNT USED ',� <br /> .A <br /> P L.E.L. READING AT REMOVAL (MUST BE C 20%) <br /> 0 <br /> T R COMMENTS <br /> A <br /> N TANK MATERIA (STEEL FIBERGLASS, OTHER) TANK SIZE <br /> K c <br /> / 0 TANK CONDITION (GOOD, POOR HOLES) ��. vuidpw� CrUS f} <br /> P N <br /> I S PIPE MATERIAL (STEEL FIBERGLASS, OTHER) I FEET <br /> P T <br /> I PIPING CONDITION (GOOD, POOR, HOLES) f <br /> N , <br /> G EPT OIL TYPE OBSERVA�'YO SA PLE 9 <br /> T <br /> F A `• +• •' Ea-vt <br /> I N c . l,a..le4r <br /> E K <br /> L n <br /> D EXCAVATION SIZE: X ! X S OF SOIL: <br /> s- <br /> I A DEPTH SOIL TYPE OBSERVATION SAMPLE 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-1, <br /> I <br /> 0 H DEPTH TO G.K. : FT SAMPLING METHOD <br /> N 2 <br /> 0 M OF HOURS SINCE DEWATERING: <br /> aOTHER SAMPLE: , <br /> i <br /> LABORATORY: SAMPLERS NAME• r/ <br /> CLOSURE IN PLACE MIXTURE: VOLUME: <br /> DRAW SITE HAP ON REVERSE <br /> VJ1 2.1 04:1(7/88) <br />