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SJLHD - OND.' ROUND `1'ANlC CLOSURE/AWkNDCl'k NT I.NSPECTIUN <br /> �'NE FfRST TANK ONL Y) <br /> + _. (SHADED ARFw ' ' '��' ' IN FOR '�' ; <br /> (, OWNER ,NAME OWNER PHONE # [apq�jG � —�/3� <br /> E <br /> CON. PHONE# " <br /> N CONTRACTOR E <br /> E e <br /> EPA # FIRE PERMIT # <br /> R SJLHD PERMIT # � - <br /> A I Ran <br /> INSPECTORS DATE — <br /> R RINSED (Y/� METHOD RINSE AMOUNT <br /> I <br /> N RINSATE DISPOSAL SITE <br /> S —4R— OTHER <br /> E I MANIFEST # <br /> V VAPORS PURGED /N) METHOD AMOUNT USED <br /> P L.E.L. READING AT REMOVAL (MUST BE C 20%) ' <br /> 0 <br /> _.TR COMMENTS <br /> C <br /> , A ZE <br /> ; N TANK MATERIAL STEEL FIBERGLASS, OTHER) TANK <br /> K. C " <br /> / O TANK CONDITION (GOOD, POO , HOLESz4�Q - <br /> P N <br /> I S PIPE MATERIAL (STEEL, FIBERGLASS, . OTHER) !( FEET <br /> ' P T <br /> I PIPING CONDITION (GOOD, POOR, ,HOLES) <br /> N FSAH�PLE # <br /> G DEPTH, SOIL -TYPE OBSERVATION. <br /> T r .r tf <br /> F <br /> I N'. _ <br /> E K' <br /> D EXCAVATION SIZE: 1Q! X X XDS OF SOIL' <br /> s: <br /> I A DEPTH SOIL TYPE OBSERVATION SAMPLE # <br /> N P ;a <br /> S x <br /> P L P <br /> E E <br /> C <br /> TRENCH DIMENSION X X YDS OF "SOIL <br /> O JH <br /> DEPTH TO G.W. :: FT SAMPLING METHOD <br /> N <br /> A OF HOURS SINCE DEWATERING: ;a <br /> HlOTHER SAMPLE: <br /> LABORATORY: C' o SAMPLERS NAME: <br /> CLOSURE IN PLACE MIXTURE: VOLUME: <br /> DRAB SITE, MAP ON, REVERSE <br /> I'll 2:1, 011'1('1/88) it <br />