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SJLHD - UNDER,`!',G 'ND 'TANK CLOSURE/A UNDUNr'LT'--,1NSPECT1Uti <br /> (SIIADF,D AREAc�7E FILLED IN FOR THE FIL �ANK ONLY) <br /> -r S7rr a/Z7 Aa 2/17"M CA,, <br /> G OWNER NAME 647_ o f S7t1L��7rl� OWNER PHONE 1! <br /> E V <br /> N CONTRACTOR �� t4Q � t CON. PHONE p ' �/2 j <br /> E <br /> R ; SJLHD PERMIT I EPA # FIRE PERMIT I <br /> INSPECTOR / DATE �,/I,E2 TANK Y 39 - <br /> R RINSED Y N) METHODT� lz EcivS6 RINSE AMOUNT U <br /> _ X <br /> N RINSATE DISPOSAL SITE <br /> S <br /> E MANIFEST # -OR- OTHER <br /> V VAPORS PURGED Y N) 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 STE IBERGLASS, OTHER) TANK SIZEIZJdO <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 DEPT SOIL TYPE OBSERVATION SAMPLE I <br /> idiT <br /> F A ' <br /> I N ` <br /> E K <br /> L <br /> D EXCAVATION SIZE: /7 X ig—x ZL 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 E <br /> C N <br /> T G TRENCH DIMENSION X X YDS OF SOIL <br /> I <br /> O H DEPTH TO G.W. : FT SAMPLING METHOD <br /> N 2 <br /> 0 l' OF HOURS SINCE DEWATERING: <br /> OTHER SAMPLE: <br /> LABORATORY: ` SAMPLERS NAME: 76E L. <br /> 1-11 i <br /> CLOSURE IN PLACEJ MIXTURE: VOLUME: <br /> DRAM SITE MAP ON REVERSE <br /> Ell 23 0,1:3(7/88) <br />