Laserfiche WebLink
G <br />E <br />N <br />E <br />R <br />A <br />L <br />T <br />A <br />N <br />K <br />P <br />I <br />P <br />I <br />N <br />G <br />E <br />L <br />D <br />I <br />N <br />S <br />P <br />E <br />C <br />T <br />I <br />0 <br />N <br />A "I�AWIUUIAD TANK CLOSURE/ABANVlWWENT INSPECTION <br />(SHADED AM TO BE FILLED IN FOR THE ST TANK ONLY) <br />OWNER NAME <br />CONTRACTOR <br />SJLHD PERMIT 0 <br />OWNER PHONE <br />CON. PHONE# <br />EPA # FIRE PERMIT # <br />INSPECTOR DATE f Z, TANK # 39 - <br />R RINSED METHOD <br />I pu <br />RINSATE DISPOSAL SITE <br />MANIFEST # -OR- C <br />V VAPORS PURGED Y7N) METHOD <br />A - I I <br />L.E.L. READING AT REMOVAL (MUST BE < 20 <br />0 <br />R I COMMENTS <br />C <br />0 <br />N <br />S <br />T <br />S_ <br />A <br />M <br />P <br />L <br />I <br />N <br />TANK MATERIAL (STEEL, FIBERGLASS, OTHER) TANK SIZE50 0 600 <br />TANK CONDITION (GOOD, .090R� HOLES) <br />PIPE MATERIAL (STEEL, FIBERGLASS, OTHER) # FEET <br />PIPING CONDITION (GOOD, POOR, HOLES) <br />DEPTH SOIL TYPE <br />T <br />A <br />N <br />K <br />P <br />I <br />P <br />E <br />EXCAVATION SIZE: Z6 X 'I S f x -9 ' <br />DEPTH SOIL TYPE OBSERVATION <br />91� p L un? - <br />YDS OF SOIL: <br />G I" TRENCH DIMENSION X X <br />YDS OF SOIL <br />H DEPTH TO G.W.: FT SAMPLING METHOD <br />2 <br />0 1 OF HOURS SINCE DEWATERING: <br />0 OTHER SAMPLE: <br />SAMPLE # I <br />SAMPLE # <br />SAMPLERS NAME: [lA vVj? <br />CLOSURE IN PLACE MIXTURE: VOLUME: <br />DRAW SITE MAP ON gp <br />Ell 23 0113(7/88) VERSE <br />RINSE AMOUNT <br />1THER <br />AMOUNT USED <br />T <br />A <br />N <br />K <br />P <br />I <br />P <br />E <br />EXCAVATION SIZE: Z6 X 'I S f x -9 ' <br />DEPTH SOIL TYPE OBSERVATION <br />91� p L un? - <br />YDS OF SOIL: <br />G I" TRENCH DIMENSION X X <br />YDS OF SOIL <br />H DEPTH TO G.W.: FT SAMPLING METHOD <br />2 <br />0 1 OF HOURS SINCE DEWATERING: <br />0 OTHER SAMPLE: <br />SAMPLE # I <br />SAMPLE # <br />SAMPLERS NAME: [lA vVj? <br />CLOSURE IN PLACE MIXTURE: VOLUME: <br />DRAW SITE MAP ON gp <br />Ell 23 0113(7/88) VERSE <br />