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0 0 <br /> SAN JOAUIN COUNTY ENVIRONMENTAL WEALTH DEPARTMENT <br /> UST/PIPING CLOSURE INSPECTION FORM <br /> SITE NAME: Fruit Stand SR#: SR0068017 <br /> ADDRESS: 17405 N. Hwy 88 CITY: Lockeford, CA 95237 <br /> OWNER NAME: Bonnie Gillespie PHONE: (209)471-1334 <br /> CONTRACTOR: Martin Thorpe PHONE: (209) 368-6175 <br /> FIRE PERMIT#: Mokelumne Fire District firemen on site. TANK#39 0520689 <br /> x PIPING REMOVAL x UST REMOVAL ❑ CLOSURE IN PLACE ❑ TEMPORARY CLOSURE <br /> INSPECTOR: Aris Cacapit DATE: 9-19-13 <br /> R RINSED: x YES ❑ NO METHOD:Triple Rinsed AMOUNT:125 gallons <br /> I <br /> N RINSATE DISPOSAL SITE: DK-Dixon 7300 Chevron Way Dixon,CA 95620 <br /> S <br /> E MANIFEST M 006852722FLE OTHER TRACKING M 118170 American Valley Waste Oil <br /> V <br /> A PURGED: x YES ❑ NO METHOD: Dry Ice AMOUNT USED:9.1 lbs. <br /> P <br /> READINGS AT REMOVAL: L.E.L.:0 02: 10 COMMENTS*: Mokelumne Fire District firemen on site. <br /> r0R <br /> TANK MATERIAL: x STEEL L3FIBERGLASS L3OTHER TANK SIZE:550 gallons <br /> TANK CONDITION: x GOOD ❑ POOR ❑ HOLES Comments*: <br /> N <br /> S PIPE MATERIAL: x STEEL ❑ FIBERGLASS ❑ OTHER TOTAL LENGTH OF PIPING: 18 feet <br /> T PIPE CONDITION: x GOOD ❑ POOR ❑ HOLES Comments*: <br /> DEPTH SOIL TYPE OBSERVATION* SAMPLE# <br /> T 12 feet Sandy clay Brown TK south <br /> A <br /> N <br /> K <br /> EXCAVATION SIZE: 18ft X_15ft X_12ft <br /> Length Width Depth <br /> S DEPTH SOIL TYPE OBSERVATION* SAMPLE# <br /> A P 1 foot Sandy clay brown Dispenser south <br /> M I <br /> P P <br /> L E <br /> I TRENCH SIZE: _18ftX 1.5ft_X_1ft <br /> N Length Width Depth <br /> G HDEPTH TO GROUNDWATER: FT #HOURS SINCE DEWATERING: <br /> 2 <br /> 0 SAMPLING METHOD: OBSERVATION*: <br /> STOCKPILE#1: 120 Cubic Yards COVERED: ❑YES x NO SAMPLE#4 in 1 composite SAMPLE# <br /> STOCKPILE#2: Cubic Yards COVERED: OYES ❑ NO SAMPLE# SAMPLE# <br /> OTHER SAMPLES: <br /> LABORATORY:GeoAnalytical Laboratories,Inc. ==SAMPLERS NAME: Richard Chrun <br /> CLOSURE IN PLACE: BACKFILL MIXTURE: VOLUME: <br /> SITE MAP ATTACHED**: x YES ❑ NO <br /> EH 23-0043(Rev 512212007) IMPORTANT NOTES:Complete one form for each tank removed <br /> *Include all commentsiobservations **Site Map Required <br />