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UNDERGROUND TANK CLOSURE / ABANOCNMSNT INSPECTION <br /> it ( SHADED AREA 70 ^ E FILLED LN FCR THE F ? RST •' 1NK ONLY ) <br /> --�.i,ZS. 'i.,•".% 'r97P,�''G, ".TiY, r47i�. ',O.c�C1i. aS . . .. '..moi.. 3�i, iR/i.°i'4/,f?f9i,TUi,.., /c�li,�iS'r. a 0 .. <br /> 'U IC:YJ' L:!!U/UlJ/'!J' LllUlUlUlUl6'141UflllUlLi. fU/U4. !/f!/f//L'!fU/(//ULL:/IUIULU:YLl/Y4//UIUIUI/lf!!/.. . . . VU/4. /ly:/U' !/IIUL/!:/141L'fU/U/UI/IIUL!_if <br /> li i i c V r„rI t a . i n l 1:71 G I .i u n ��.�C .'�r-i C I �. i t s (-• •+7r. .rry,y <br /> CWNER NAME I OWNER PHONE # <br /> rF <br /> C •w� CGNTRACTOR3,rG L ��• � �w I CCN . P1-iONE # � <br /> R S.iLHD PERMIT # I EPA # I FIRE PERMIT # <br /> 4 <br /> A ✓ rb!/ia a` G rG / r /06 / r /171m'dour• /rG20, <br /> L nc, r u U = 1 , r �Nuc ic, n nY a ung <br /> INSPECTOR �j �l`d" I OATE&, — A � � ` TANK # ,i9 <br /> R RINSED ( Y / N ) I METHOD I RINSE AMOUNT <br /> i <br /> N RINSAT —c DISPOSAL SITE <br /> S I <br /> ii E MANIFEST # —CR— OTHER I <br /> I <br /> V VAPORS PURGED ( Y / N ) ( METHOD I AMOUNT USED <br /> A <br /> P I L . E . L . READING AT REMOVAL ( MUST BE ( 2040 ) <br /> 0 <br /> 7 <br /> T I R COMMENTS <br /> A <br /> N TANK MATERIAL ( STS i , FIBERGLASS , OTHER ) ' TANK Sib 7 = j . p <br /> K C <br /> / 0 TANK CONDITION ( GOOD , POCR , HOLES ) �� y ��� o .� <br /> N <br /> S PIPE MATERIAL ( STEEL , FIBERGLASS , OTHER ) I # FEET <br /> P T I <br /> T_ Pi PING CONDITION ( GCOD , POOR , HOLES ) <br /> N <br /> G DEPTH I SOIL TYPE I OBSERVATION SAMPLE # <br /> i _ <br /> j I I <br /> T N <br /> L <br /> " S0 u r I w .2 St i u <br /> D EXCAVATION SI 74 X YDS OF SOIL : <br /> S <br /> I I A k0E <br /> H I SOIL TYPE I OBSERVATION I SAMPLE # I� <br /> P j L P � 1 - I <br /> r i EC N f/ 1 fxtT G CH DIMENSION ! YDS OF SOIL <br /> I _ <br /> D H DEPTH TO G . W . FT I SAMPLING METHOD <br /> N <br /> i <br /> 0 I # OF HOURS SINCE DEWATERING : <br /> I 0 i AMPLE : � <br /> i <br /> LABORATORY : I SAMPLERS NAME : I <br /> j CLOSURE IN PLACS I MIXTURE : I• VCLUME : <br /> 2:.04.; ( 10 / 89 ) DRAW SITE MAP ON REVERSE <br />