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UNDSfe -UUND TANK CLOSURE/ABANDONy' 'gym INSPECTION <br /> (SHADED AREAi _ 3E FILLED IN FOR THE FI,c-, DANK ONL Y) <br /> x, <br /> ADDREt��(w <br /> G OWNER NAME �U7 OWNER PHONE # <br /> E <br /> N CONTRACTOR CoitC. CON. PHONE# <br /> E <br /> R SJLHD PERMIT # EPA # °��Z FIRE PERMIT # QrJ <br /> A <br /> Fkl <br /> L —_ <br /> INSPECTOR ��� DATE �� = TANK # 39 <br /> IRINSED Y/1N} METHOD i .I _. , , z-.; RINSE AMOUNT <br /> N RINSATE DISPOSAL SITE <br /> S <br /> E MANIFEST # ��f.`� � -OR- OTHER <br /> V VAPORS PURGED j/X/N) METHOD j AMOUNT USED J5U 11 <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 �C_`t <br /> K C Cava <br /> / 0 TANK CONDITION GooD'.. OORV' HOLES) <br /> P N <br /> I S PIPE MATERIAL (STEEL, FIBERGLASS, OTHER) # FEET <br /> P T <br /> _ F -- <br /> I PIPING CONDITION (GOOD, POOR, HOLES) <br /> N <br /> G DEPTH SOIL TYPE OBSERVATION SAMPLE # <br /> E K _0-3rL <br /> D EXCAVATION SIZE: x cl XYDS OF SOIL: dS <br /> S- <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. 006 coy-m-+k FT SAMPLING METHOD <br /> N 2 <br /> 0 # OF HOURS SINCE DEWATERING: <br /> F7ol OTHER SAMPLE: -� <br /> LABORATORY: W e5r SAMPLERS NAME: <br /> r CLOSURE IN PLACE MIXTURE: VOLUME: <br /> DRAW SITE MAP ON REVERSE <br />