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SJLHD - UNDERr14'`3_UND TANK CLOSURE/A$ANDONY-x-17 INSPECTION <br /> y <br /> (SHADED AREIk-.j BE FILLED IN FOR THE FIh TANK ONLY) <br /> G OWNER `NAME ` OWNER PHONE # <br /> r <br /> y <br /> E <br /> N CONTRACTOR �'p CON. PHONE# <br /> E ' <br /> R SJLHD PERMIT # EPA # FIRE PERMIT # <br /> A <br /> L <br /> INSPECTOR DATE /O�rl?fY TANK # 39 - -' <br /> R RINSED (Y/N) METHOD RINSE AMOUNT <br /> I <br /> N RINSATE DISPOSAL SIT <br /> S <br /> E MANIFEST # -OR- R <br /> V VAPORS PURGED -( N) METHOD AMOUNT USED <br /> A <br /> P L.E.L. READING AT REM (MUST BE < 20$) <br /> O <br /> T R COMMENTS <br /> A <br /> N TANK MATERIAL (STEEL, FIBERGLASS., THER) TANK SIZE <br /> K C <br /> / O 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 DEPTH SOIL TYPE OBSERVATION SAMPLE # <br /> T ,J <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 EPTH SOIL TYPE RVATION PLE # <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 /> 0 # OF HOURS SINCE DEWATERING: <br /> OTHER SAMPLE: <br /> LABORATORY: <br /> SAMPLERS NAME: <br /> LE,ti�, <br /> CLOSURE IN PLACE MIXTURE: VOLUME: <br /> DRAW SITE MAP ON REVERSE *. 4 <br />