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NAME':5;�k joAqV <br />OWNER OWNER PHONE #(2rocj) 5,077 <br />CONTRACTOR CON. PHONE# <br />SJLHD PERMIT # FIRE P RMIT # <br />RINSE AMOUNT <br />p1m <br />RINSATE DISPOSAL SITE <br />111 t- A -2 4 <br />VAPORS PURGED <br />AMOUNT USED <br />L.E.L. READING AT REMOVAL (MUST BE 20%) -7 <br />T <br />N TANK MATERIAL(�( �--E–FIBERGLASS, OTHER) TANK SIZE 6 <br />K <br />TANK CONDITION (GOOD FL <br />A PIPE MATERIA6� �EE FIBERGLASS, OTHER) <br />P <br />I PIPING CONDITION (GOOD <br />N <br />G OBSERVATION <br />F I <br />I <br />E <br />L <br />D EXCAVATION SIZ X YDS ■ SOIL: <br />I SOIL TYPE 1� OBSERVATION <br />N <br />S <br />P <br />E <br />C <br />T L T RENCH DIMENSION X — X YDS OF SOIL <br />■ DEPTH TO G.W.% FT SAMPLING ■r <br />•N <br /># Or ■ SINCE DEWATERING: <br />OTHER SAMPLEt <br />LABORATORYt SAMPLERS NAME* <br />41 <br />CLOSURE IN PLFICEI� MIXTURE: <br />hH dio43 (10/89) DRAW SITE MAP ON REVERSE <br />