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S.JLHD - UNDi 'f(OUNU TANK CLOSURE/AgANDd,,��_-'N`i' Ifi illEL` oill f <br /> (SHADED ARL TO BE FILLED IN FOR TUE F'r-kST TANK ONLY) <br /> ..a <br /> G OWNER NAME, CS OWNER PHONE # <br /> EVit•' <br /> N CONTRACTOR �� -V21/�Gs✓ S7� CON. PHONE# ' (Zb — <br /> E <br /> R SJLHD PERMIT I EPA I FIRE PERMIT 0 <br /> INSPECTOR DATE TANK 1 39 - - <br /> R RINSED (Y/N) METHOD RINSE AMOUNT <br /> I <br /> N RINSATE DISPOSAL SITE <br /> S <br /> E MANIFEST I -OR-- OTHER <br /> V VAPORS PURGED (Y/N) METHOD AMOUNT USED <br /> .A 7 <br /> P L.E.L. READING AT REMOVAL (MUST BE < 20%) <br /> 0 <br /> T LR <br /> 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 SPIPE MATERIAL (STEEL, FIBERGLASS, OTHER) FEET <br /> P T <br /> I PIPING CONDITION OOD POOR, HOLES) O� <br /> N k 16Z2 - ' <br /> G DEPTH SOIL TYPE OBSERVATION SAMPLE # <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 <br /> P L P <br /> E I [ M, h421 EGtot <br /> C N 0 1 <br /> T G TRENCH DIMENSION ,:� X :5 X YDS OF SOIL <br /> I <br /> __2rAge�,�7-7-- <br /> 0 H DEPTH TO C.W. : FT SAMPLING METHOD <br /> N 2 <br /> 0 I OF HOURS SINCE DEWATERING: <br /> aOTHER SAMPLE: ✓ <br /> LABORATORY: ca SAMPLERS NAME:r C9 <br /> CLOSURE IN PLACE MIXTURE: VOLUME: <br /> DRAW SITE MAP ON REVERSE <br /> EII 2:1 04:1(7/88) <br />