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SJLHD -- UNP' -'(;i((JUND TANK CLU;;U Ol /MIND -o_w litl!' JN:.PLC'1'1 UN <br /> (SHADED Aft TO BE FILLED lt4 •OR TANK ONLY) <br /> 60( 5 <br /> G OWNER 'NAME <br /> OWNER !?HONE SIS'- 3y3 -G�sY <br /> E ��+� {cc�crno,rJ : <br /> NCONTRACTOR <br /> t -`; rrr+ Mer CON. PHONE# �� <br /> E �G z <br /> R SJLHD PERMIT I <br /> EPA <br /> A N Cqc �yrtnF1 FIRE PERMIT itMAN W <br /> INSPECTOR C N,a.,� DATE TANK 1 39 601 S P,.{urrx - <br /> I RINSED ( N) METHOD�� $u�e. fry tai RINSE AMOUNT 1! J <br /> N RINSATE DISPOSAL SITE <br /> 1331 i N, / rsaN Cd <br /> E MANIFEST # -OR- OTHER <br /> V VAPORS PURGED �N) METHOD AMOUNT USED <br /> A -r e �2 16s <br /> P L.E.L. READING AT REMOVAL (MUST BE < 20%) fvoNe <br /> 0 <br /> T R COMMENTS <br /> A - I <br /> N TANK MATERIAL STEE FIBERGLASS, OTHER) TANK SIZEv <br /> K C - <br /> / 0 TANK CONDITIO (GOOD, POOR, HOLES) <br /> P N i <br /> I S PIPE MATERIAL('(STEE FIBERGLASS, OTHER) # FEET <br /> P T <br /> I PIPING CONDITION (GOOD, POOR, H LES) <br /> G DEPTH SOIL TYPE OBSERVATION <br /> T SAMPLE I <br /> F A ! �, / G " hl+� `-Q•o•• r�i''-�CIfT' �Q�SjDIJC{(1'S}Qr' CLT(7NIId�' Ow�' . <br /> E K <br /> L <br /> D EXCAVATION SIZE: _� X 2:1- X YDS OF SOIL: <br /> s- <br /> I A DEPTH SOIL TYPE OBSERVATION <br /> N M PF— SAMPLE # <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 r-'P-( , <br /> 0 1 OF HOURS SINCE DEVATERINC e>r lw,?,A-e ilwc t. <br /> aOTHER SAMPLE: <br /> L L LABORATORY: coir �� SAMPLERS NAME: <br /> --L-- Row Guar <br /> CLOSURE IN PLACE I MIXTURE: 11 D OLUME: <br /> DRAW SITE MA V RSE <br /> Eff 2:1 01:1(7/811) _ .._ <br />