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SJLHD - UNDEL OUND 'TANK CLOSURE/ALV NDON 1' INSPECTION <br /> (SHADED AREt. TO BE FILLED IN FOR THE FI* TANK ONLY) <br /> 1 A) es 1. <br /> G < OWNER NAME NG�Jes OWNER PHONE # 2 0 •/S <br /> E <br /> N <br /> CONTRACTOR C1� ( oNy „U CON. PHONE# <br /> E CAG o 0 : <br /> R SJLHD PERMIT # EPA # 5 op °r? FIRE PERMIT # IQ�*•+Q S- <br /> L Hit Mmwl4- Hall <br /> INSPECTOR � , �U DATE 6/zi gl TANK # 39 - <br /> R RINSED((Y/ ) METHOD s raw rJPxvan ` u. r <br /> RINSE AMOUN <br /> I <br /> N RINSATE DISPOSAL SITE E",Vlre'jMe^ r <br /> S <br /> E MANIFEST # -OR- OTHER c6p m4 ce-cer 4d -.4d ky <br /> V VAPORS PURGE (Y/ ) METHOD at,, AMOUNT USED JS JbS <br /> A <br /> P L.E.L. READING AT REMOVAL (MUST BE < 208) N nNo <br /> 0 <br /> T R COMMENTS <br /> A <br /> N TANK MATERIAL (STEEL, FIBERGLASS, OTHER) TANK SIZE 100o <br /> K C <br /> / 0 TANK CONDITION (GOOD, POOR, HOLES) <br /> P N <br /> I S PIPE MATERIAL (STEEL, FIBERGLASS, OTHER) # FEET <br /> P T <br /> I PIPING CONDITION (GOOD, POOR, HOLES ) <br /> N <br /> G DEPTH SOIL TYPE OBSERVATION SAMPLE # <br /> T 7 y, G� Me r c�or tem <br /> F A <br /> I N <br /> E K <br /> L <br /> D EXCAVATION SIZE: 3=7 X l3 X 7 YDS OF SOIL: <br /> 3- <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 X X YDS OF SOIL <br /> I <br /> 0moDEPTH TO C.W. : FT SAMPLING METHOD <br /> N # OF HOURS SINCE DEWATERING: <br /> ❑O OTHER SAMPLE: <br /> r <br /> LABORATORY: �' NEIN;pJ SAMPLERS NAME:� �t+w, <br /> i <br /> CLOSURE IN PLACE MIXTURE: VOLUME: <br /> DRAW SITE. MAP ON REVERSE <br />