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SJLHD - UNU iUUND TANK C:LU;;UJ( : JLIJAND11T 1.14::PLICTI UN <br /> (SHADED Alt_ {. f 0 BE F'IL&RD IN I')R T111; 1•A',iaT TANK ONLY) <br /> 4 0!S (/�• ,,o, s ^J <br /> 4 <br /> G OWNER NAME Je�r� prP�kw.c�r� OWI IER PHONE I <br /> N ( CONTRACTOR !' / <br /> E Wps4-erg Mef e- COI. PHONE I 'Zoq <br /> R i SJLHD PERMIT 1 <br /> I:PArq� Is2 FIRE PERMIT b Pe�6`"� eV ; <br /> INSPECTOR4N.f. DATE TANS 1 39 - 6G! s. Vtn�+ncc .. w <br /> I RINSED N) METHOD -"- RI NSE AMOUNT <br /> N RINSATE DISPOSAL SITE <br /> S Re"frN�� ServtceS C 3r N. F/ a G!v C <br /> E MANIFEST -OR- OTHER tl65�,,E <br /> V VAPORS PURGED (Y N) METHOD AMOUNT USED <br /> A <br /> P L.E.L. READING AT REMOVAL (MUST BE < 201) ANG_ <br /> 0 <br /> T R COMMENTS <br /> A <br /> N TANK MATERIAL EE , FIBERGLAS , OTHER)7 TANK SIZE <br /> K C <br /> / 0 TANK CONDITION GOOD POOR, HOL S) <br /> P N <br /> I S PIPE MATERIAL STEE , FIBERGLAS , OTHER) i FEET <br /> p T <br /> i PIPING CONDITION (GOOD, POOR, H LES) Fair <br /> N <br /> G DEPTH SOIL TYPE OBSERVATION SAMPLE . I <br /> T <br /> F A 3�6� Cc, t�' o yr s S. <br /> ? • <br /> I N D or` W'o 2 A4ftl iv <br /> E K -- <br /> L <br /> D EXCAVATION SIZE: 3� X 22 �l6 YDS OF SOIL: <br /> S- <br /> I A DEPTH SOIL TYPE OBSERVATION SAMPLE <br /> N M P <br /> S P I <br /> P L P <br /> E I E <br /> C N «... <br /> T G TRENCH DIMENSION Xx YDS OF SOIL <br /> 0 H DEPTH TO G.V, : , <br /> FT SAMPLING METHOD <br /> N 2 >. <br /> I OF HOURS SINCE DEWATERING: <br /> IEOTHER SAMPLE: s' <br /> y4 <br /> S, <br /> LABORATORY: GoIA4, SAMPLERS NAME; ` <br /> LJCLOSURE IN PLACE MIXTURE: C� VOLUME: :, r:•; <br /> ARAB SITE ERS • , <br /> V11 z:t n�a(7/fIH) <br />