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S4LHU — UNUk t&`?UUND 'TANK CLOSURE/A$ANDONy"VT INSPECTION <br /> (SHADED AREh IE FILLED IN FOR THE FI f _ I NK ONLY) <br /> G OWNER NAME OWNER PHONE # <br /> E <br /> N CONTRACTOR CON. PHONE# <br /> E <br /> R < SJLHD PERMIIT # EPA # FIRE PERMIT # 00 <br /> A . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> L <br /> INSPECTORS _.t DATE TANK # 39 <br /> R RINSED (Y N) METHOD RINSE AMOUNT <br /> N RINSATE DISPOSAL SITE ;- <br /> S <br /> E MANIFEST # —OR— OTHER <br /> u VAPORS PURGED (i Y/N) METHOD / AMOUNT USED 1r <br /> A <br /> P L.E.L. READING AT REMOVAL (MUST BE < 20%) <br /> O lJ/1 <br /> T R COMMENTS <br /> A <br /> N TANK MATERIAL (STEEL—),,FIBERGLASS, OTHER) TANK SIZE <br /> / O TANK CONDITION (GOOD/POOR, HOLES) :7 L <br /> P N <br /> I LS PIPE MATERIAL (STEEL, FIBERGLASS, OTHER) # FEETP IPIPING CONDITION (GOOD, P0094) HOLES) <br /> �� ; <br /> G DEPTH SOIL TYPE OBSERVATION SAMPLE # <br /> I N `i t–ry/Cc <br /> L <br /> D EXCAVATION SIZE: X X /�— YDS OF SOIL: <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. : n" F SAMPLING METHOD <br /> N 2 <br /> 0 # OF HOURS SINCE DEWATERING: <br /> I <br /> Fo OTHER SAMPLE: ^----- <br /> -T LABORATORY: (,J '' SAMPLERS NAME: <br /> CLOSURE IN PLACE MIXTURE: VOLUME: <br /> i <br /> DRAW SITE MAP ON REVERSE <br />