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SJLHD - UNDI',--f(UUND 'TANK CLOSURE/AIIANDOV'4-,NT INSPEC'TIUN <br /> (SHIT DED ARI TO BE FILLED IN FOR THE F 'T TANK ONLY) <br /> . . . <br /> AW <br /> G OWNER 4NE OWNER PHONE : <br /> E <br /> N < CONTRACTOR 11!&'ZI CON. PHONE# ' <br /> E <br /> R SJLHD PERMIT 0 EPA I FIRE PERMIT 0 <br /> Is L <br /> INSPECTOR DATE L� TANK @ 39 - 2. .S - <br /> R RINSED (Y METHOD RINSE AMOUNT <br /> I - L <br /> N RINSATE DISPOSAL SITE <br /> S <br /> E MANIFEST 0 -OR- OTHER <br /> V VAPORS PURGED (Y N) . METHOD AMOUNT U D . <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 STEE FIBERGLASS, OTHER) TANK IZE�/ kB <br /> K G <br /> / 0 TANK CONDITIONQGOOD POOR, HOLES) <br /> P N /t�u .�'% kSrl 1pl <br /> I S PIPE MATERIAL (STEEL, FIBERGLASS, OTHER) FEET <br /> P T <br /> I PIPING CONDITION (GOOD, POOR, HOLES) <br /> N <br /> G DEPTH SOIL TYPE OBSERVATION SAMPLE 0 <br /> T <br /> F A ' <br /> I N <br /> E K <br /> L <br /> D EXCAVATION SIZE: g X X Jr-' YDS OF SOIL: ti ¢ <br /> 3- <br /> I A DEPTH SOIL TYPE OBSERVATION SAMPLE U <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. : FTS AMPLING METHOD <br /> N 2 <br /> 0 I OF HOURS SINCE DEWATERING: <br /> �O OTHER SAMPLE: <br /> LABORATORY: SAMPLERS NAME: <br /> i <br /> CLOSURE IN PLACE MIXTURE: VOLUME: <br /> DRAW SITE MAP ON REVERSE <br /> Ell 2:1 04:1(7/88) too <br />