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SJLHD - UNDEP';ROUND 'TANK CLOSURE/A4AND0N'=:-:NT INSPECTION <br /> (SHADED AR TO BE FILLED IN FOR THE F.�;T TANK ONLY) <br /> ,I <br /> G OWNER NAME <br /> OWNER PHONE <br /> E <br /> N CONTRACTORS CON. PHONE# <br /> E ' <br /> R SJLHD PERMIT # EPA # FIRE PERMIT # <br /> INSPECTOR T I - DATE aa- �� TANK # 3 9 - - <br /> R RINSED (Y/N) METHOD RINSE AMOUNT <br /> I <br /> N RINSATE DISPOSAL SITE <br /> S <br /> E MANIFEST fP -OR- OTHER <br /> V VAPORS PURGED (YIN) METHOD AMOUNT USED <br /> A <br /> P L.E.L. READING AT REMOVAL (MUST BE < 20%) <br /> O <br /> T R COMMENTS <br /> A <br /> N TANK MATERIAL (STEEL, FIBERGLASS, OTHER) TANK SIZE <br /> K C <br /> / 0 TANK CONDITION (GOOD, POOR, HOLES) <br /> P N <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 r) <br /> T <br /> F A <br /> I N <br /> E K <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 rs jd/- <br /> P L P S _ 10 <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 I OF HOURS SINCE DEWATERING: <br /> 0 OTHER SAMPLE: <br /> LABORATORY: SAMPLERS NAME: <br /> CLOSURE IN PLACE MIXTURE: VOLUME: <br /> DRAW SITE. MAP ON REVERSE <br />