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SJLHD - UNDEIf r'[ 'D 'TANK CLOSURE/AUNDONI """t6INSPECTIUt4 � <br /> (s] AREA ;E FILLED IN FOR THE F'IIt., '►NK ONLY) <br /> = � P � - <br /> G OWNER ,NAME S7UG C? OWNER PHONE: # <br /> E r <br /> N CONTRACTOR CON. PHONE# ' <br /> E <br /> R SJLHD PERMIT I EPA # FIRE PERMIT # 75 <br /> L 01 <br /> INSPECTOR DATE TANK # 39 - _ - L <br /> R RINSED Y N) METHOD RINSE AMOUNT da <br /> I <br /> N RINSATE DISPOSAL SITE I <br /> S i <br /> E MANIFEST -OR- OTHER Y . <br /> V VAPORS PURGED N) METHOD �� C� 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 STE._ , FIBERGLASS, OTHER) TANK SIZE�r;,o 400 <br /> K C <br /> / O TANK CONDITIO (GOOD, POOR, HOLES) <br /> P N <br /> I S PIPE �MATERIAL (STEEL, FIBERGLASS, OTHER) Fl FEET <br /> P T <br /> I PIPING CONDITION (GOOD, POOR, HOLES) <br /> N <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 jL X L_ YDS OF SOIL: <br /> 3; <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 r <br /> I <br /> OH DEPTH TO G.W. : FT SAMPLING METHOD <br /> N 2 <br /> O I OF HOURS SINCE DEWATERING: <br /> 171. OTHER SAMPLE: <br /> LABORATORY: NpNlE SAMPLERS NAME:` V � <br /> CLOSURE IN PLACE I MIXTURE: VOLUME: <br /> l?i[ 23 011:3(7/88) <br /> DRAW SITE HAP ON REVERSE <br /> k <br />