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h <br /> SJLHD UNDERGROUND 'TANK CLOSURE/AONDONMLN'T INSPI;CTIUN <br /> (SHADED AREA TO BE FILLED IN FOR THE FIRST TANK ONLY) <br /> W ... ...........fill.- <br /> - <br /> G OWNER NAME OWNER PHONE 1 <br /> E ' ✓lii„es f .��vrr r�� e-52 V70 <br /> N CONTRACTOR S�iyCa CON. PHONE# <br /> E <br /> SJLIiD ERMIT 1 EPA gpT 1 9/_o 7 ` <br /> INSPECTOR D� DATE ' _a , TANK 1 39 - /Sp3 - 03 <br /> IRINSED mN) - METHOD � e RINSE AMOUNTS <br /> 3 RINSATE DISPOSAL SITE <br /> E MANIFEST 1 -OR- OTHER <br /> V VAPORS PURGED METHOD AMOUNT USED/SV/45 f <br /> A <br /> P L.E.L. READING AT REMOVAL (MUST BE < 20%) <br /> O <br /> T R COMMENTS } <br /> A <br /> N TANK MATERIALSTEE , FTBERGLASS, OTHER) TANK SIZE <br /> K C <br /> / 0 TANK CONDITION (GOODo �OaQtt� OLES <br /> P N <br /> ` IS PIPE MATERIAL ( EE FIBERGLASS, OTHER) 1 FEET <br /> P T F <br /> I PIPING CONDITION (GOOD,, OR HOLES) f <br /> G DEPTH SOIL TYPE OBSERVATION SAMPLE P <br /> F AlEls i.. Sfron. d'vr .f ig✓P�:�f:� <br /> I N <br /> E Kf <br /> L <br /> D 9. EXCAVATION SIZES .2/:Xc-Z X 9 YDS OF SOIL: ya,3 <br /> I A DEPTH SOIL TYPE OBSERVATION SAMPLE 1 <br /> N M P <br /> S P I <br /> P L P <br /> E <br /> C N ."� <br /> T G TRF)NCH DIMENSION a( X fZ X 3 YDS OF SOIL <br /> I <br /> 0 H DEPTH TO G.M. S <br /> N 2 FT SAMPLING METIIOD j <br /> 0 1 OF HOURS SINCE DEWATERING: E <br /> 0 OTHER SAMPLE: <br /> LABORATORY: C4� SAMPLERS NAME: <br /> CLOSURE IN PLACE MIXTU.RE:• VOLUME: <br />