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SJLHD - UNDE*OUND TANK CLOSURE/AI(ANDO I' INSPECTION <br /> (SHADED AREA TO BE FILLED IN FOR THE FT TANK ONLY) <br /> 7E — <br /> N <br /> WNER NAME OWNER PHONE # <br /> 11 <br /> ONTRACTOR /G CQh {r������ CON. 2-09 _r .Z <br /> R SJLHD PERMIT # R EPA # yoC�r�-7 FIRE PERMIT # <br /> Lam ` <br /> INSPECTORC NUN DATE 6r„( /gc1 TANK 1 39 - 2-3 y e - OZ <br /> R RINSED (Y ) METHODS «4" c RINSE AMOUNT <br /> 3 drum <br /> I <br /> N RINSATE DISPOSAL SITE <br /> S ^ <br /> E MANIFEST # -OR- OTHER R�=Re_ �D �n��*� <br /> V VAPORS PURGE (Y/ ) METHOD Dml AMOUNT USED <br /> A <br /> P L.E.L. READING AT REMOVAL (MUST BE < 20%) <br /> 0 <br /> T R COMMENTS <br /> NTANK MATERIAL TEE FIBERGLASS, OTHER) TANK SIZE <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 /> IPIPING CONDITION (GOOD, POOR, HOLES) <br /> N <br /> G DEPTH SOIL TYPE OBSERVATION SAMPLE # <br /> T 1 co o, nN S <br /> F A c / ✓N 2U/ <br /> I N odor 3E <br /> E K <br /> L <br /> D EXCAVATION SIZE: S7 X 13 X 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 X _ X YDS OF SOIL <br /> I <br /> 0 H DEPTH TO G.W. : FT SAMPLING METHOD <br /> N 2 <br /> 0 # OF HOURS SINCE DEWATERING: <br /> ❑O OTHER SAMPLE: <br /> HiALABORATORY: �'�� e �r [n` SAMPLERS NAME: / J �*t <br /> c <br /> UF—CLOSURE IN PLACE MIXTURE: VOLUME: <br /> DRAW SITE HAP ON REVERSE <br /> 1?11 2:1 0^'t(7/u8) <br />