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bJLIAU - uNuEX6 hUUivu ' "a& (:LUSUdr:/etIANuUN�zr.N'1 1.vjYr;C:'i lUN <br /> (SHADED A,.' TO BE FILLED IN FOR THE " `RST TANK ONLY) <br /> -S : <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ]6'.06. . . . . . <br /> upulo Ale <br /> G i OWNER NAME �uNd� OWNER PHONE # 2(7 _EN CONTRACTOR S CCSCON. PHONE# �OE R < SJLHD PERMIT # EPA # FIRE PERMIT # <br /> A <br /> L <br /> INSPECTOR C -- DATE TANK # 39 <br /> R RINSED ( ) METHOD � ' � to RINSE AMOUNT <br /> I <br /> N RINSATE DISPOSAL SITE . <br /> S <br /> E MANIFEST # -OR- OTHER <br /> V VAPORS PURGED (Y/N) METHOD G� AMOUNT USED <br /> A <br /> P L.E.L. READING AT REMOVAL (MUST BE < 20%) �I <br /> 0 / <br /> T R COMMENTS <br /> A <br /> N TANK MATERIAL (STEEL FIBERGLASS, OTHER) TANK SIZE oar <br /> K C <br /> / 0 TANK CONDITION (G00 , POOR, HOLES) <br /> P N <br /> ` I L JS PIPE MATERIAL (STEEL FIBERGLASS, OTHER) # FEETP I ri <br /> I PIPING CONDITI (GOOD POOR, HOLES) <br /> N <br /> G DEPTH SOIL TYPE OBSERVATION SAMPLE # <br /> T <br /> F A C/ orc � ►r1 W <br /> � <br /> I N <br /> E K .261r jeczw� IJo <br /> L <br /> D EXCAVATION SIZE: J-2, X Z"7 X YDS OF SOIL: <br /> 3- <br /> I A DEPTH SOIL TYPE OBSERVATION SAMPLE # <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 # OF HOURS SINCE DEWATERING: <br /> FolOTHER SAMPLE: <br /> iF LABORATORY: Cal W a�e_r 1 Abs SAMPLERS NAME: D r��5 <br /> CLOSURE IN PLACE I MIXTURE: VOLUME: <br /> DRAW SITE MAP ON REVERSE <br /> EH 23 043(7/88) <br />