Laserfiche WebLink
SJLHD - UNDERGROUND 'TANK CLOSURE/A4ANDONML•'NT INSPCCTION <br /> (SHADED AREA TO BE FILLED IN FOR THE FIRST TANK ONLY) <br /> f- Uft f•., Gari,,, <br /> i <br /> E OWNER NAME OWNER PHONE 1 95d _a y 7a <br /> N CONTRACTOR CON. Pt10NEN ' <br /> E <br /> R SJLHD PERMIT 1 EPA 1 <br /> LFIRE PERMIT 1 `��_v <br /> y <br /> INSPECTOR CJti ` DATE 9 TANK 1 39 - /S03 - 02 <br /> I RINSED �/N) METHOD ice RINSE AMOUN S <br /> N RINSATE DISPOSAL SITE f <br /> E MANIFRST 1 -OR- OTHER <br /> V VAPORS PURGED (YN) METHOD <br /> A y i�2 AMOUNT USED iSc�/Lis <br /> •P L.E.L. READING AT REMOVAL (MUST BE < 20%) <br /> 0 <br /> T R COMMENTS ' <br /> A <br /> K C TANK MATERIAL EL EFIBERGLASS, OTHER) TANK SIZE / Oo0 <br /> PH TANK CONDITION (GOOD, , IOLES Fe no • / �Q T, <br /> ' I S PIPE MATERIAL ( EEL FIBERGLASS OTHER) I FEET <br /> "P T <br /> I PIPING CONDITION (GOOD, <br /> N OR, HOLES) <br /> G <br /> T DEPTH SOIL TYPE OBSERVATION SAMPLE 4 <br /> F A a (i7 <br /> I N sw <br /> E K <br /> L <br /> 0 EXCAVATION SIZE: LI:X _2Z X 9' YDS OF SOIL: <br /> 3; <br /> I A DEPTH <br /> N M P SOIL TYPE OBSERVATION SAMPLE 1 <br /> . <br /> S p I <br /> p L P <br /> E I E <br /> C N <br /> T G TRENCH DIMENSION � X ;),( 'x 3' yDS OF SOIL <br /> I <br /> LO' H DEPTH TO .G.W. ! FT SAMPLING METHOD <br /> N 2 <br /> 0 1 OF HOURS SINCE DEWATERING! <br /> O OTHER SAMPLE: <br /> LABORATORY: <br /> <;ea est tab SAMPLERS NAME: <br /> CL05URE IN PLACE MIXTURE:• VOLUME: <br />