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SJLHD - UNDE OUND TANK CLOSURE/Al(ANDON P INSPL(:TtU�'� <br /> (SHADED ARE�O UE FILLED IN FOR THE FI TANK ONLY) - <br /> WA- <br /> �• , <br /> G OWNER 'NAME VVAd /�� OWNER PHONE <br /> E <br /> N CONTRACTOR / CON. PHONEtl ' <br /> R SJLHD PERMIT tl ISA tl X7,2 FIRE PERMIT tl <br /> L `' � <br /> INSPECTOR DATE <br /> R RINSEDY N) METHOD S���M G�eav RINSE AMOUNT�dQca <br /> I <br /> N RINSATE DISPOSAL SITE <br /> S <br /> E MANIFEST I -OR- OTHER <br /> V VAPORS PURGED (Y N) METHOD AMOUNT USED Z� <br /> A <br /> P L.E.L. READING AT REMOVAL (MUST BE ( 20%) <br /> 0 <br /> T R COMMENTS 7/pj�C G�eA� <br /> A <br /> N TANK MATERIA (STE9Q FIBERGLASS, OTHER) TANK SIZE /QOQ <br /> K C <br /> / 0 TANK CONDITIONGOOD, POOR, HOLES) <br /> P N <br /> I S PIPE MATERIAL STEEL, FIBERGLASS, OTHER) tl FEET <br /> P T <br /> I PIPING CONDITION GOOD, POOR, HOLES) <br /> N <br /> G DEPTH I SOIL TYPE OBSERVATION SAMPLE tl <br /> T <br /> F A AN /) G �✓oZn v Ge <br /> I N S NP 2 <br /> E K N <br /> L <br /> D EXCAVATION SIZE: / / X /G X E:—FY DS OF SOIL: S �� <br /> s: <br /> I A DEPTH SOIL TYPE OBSERVATION SAM! E tl <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 12— YDS OF SOIL L <br /> I <br /> 0 H DEPTH TO C.W. : FT SAMPLING METHOD <br /> N 2 <br /> 0 tl OF HOURS SINCE DEWATERING: <br /> ❑O OTHER SAMPLE: <br /> LABORATORY: 'r-1,1"I,e Le-45 SAMPLERS NAME:/1PelLl <br /> i <br /> CLOSURE IN PLACE MIXTURE: VOLUME: <br /> DRAW SITE MAP ON REVERSE <br /> 111 2:1 04:1(7/88) <br />