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SJLHD - UNDEFdOWOUND 'DANK CLOSURK/AMNDODAftJT INSPL(-Vl Lk3 <br /> (SHADED AREO BE FILLED IN FOR THE F .. TANK ONLY) <br /> Wimm ill <br /> G OWNER 'NAME �t • OWNER PHONE # �JL;��-Z 7.7� <br /> E <br /> N CONTRACTOR 7FL CON. PHONE# ' _ Cf6,S GpC90 <br /> E ' <br /> R < SJLHD PERMIT tl EPA I FIRE PERMIT # <br /> L TAY Hl <br /> INSPECTOF�,Vl DATE �7�9 TANK # 39 - 23 23 - Q <br /> RRINSED Y% ) METHOD RINSE AMOUNT <br /> • I <br /> N RINSATE DISPOSAL SITE <br /> S <br /> E MANIFEST I -OR- OTHER <br /> V VAPORS PURGED L(Y)N) METHOD ;E-. - AMOUNT USED -2 , . <br /> A <br /> P L.E.L. READING AT REMOVAL (MUST BE < 208) <br /> 0 <br /> T R COMMENTS ��N�C LL o G✓t4 7p�G ��CO � ✓amu d'il�{� <br /> A <br /> N TANK MATERIAL (STEEL) FIBERGLASS, OTHER) TANK SIZE <br /> K C //' � <br /> / 0 TANK CONDITION (GOOD, POOR HOLES) Z �'�` ��Ydu `� <br /> P N <br /> I S PIPE MATERIAL (STEEL, IBERGLASS, OTHER) # FEET <br /> P T <br /> I PIPING CONDITION (GOOD POOR, HOLES) <br /> N <br /> G DEPTH SOIL TYPE OBSERVATION SAMPLE # <br /> T <br /> F A /F O r v ✓ <br /> I N <br /> E K <br /> L <br /> D EXCAVATION SIZE: X ,Z/ X YDS OF SOIL: �- <br /> 3: <br /> I A DEPTH SOIL TYPE OBSERVATION S MPLE # <br /> N M P ✓ wti !✓� va s o <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 1 Q <br /> I <br /> 0 H DEPTH TO G.W. : FT SAMPLING METHOD <br /> N 2 <br /> 0 # OF HOURS SINCE DEWATERING: <br /> aOTHER SAMPLE: <br /> LABORATORY: C'ff�/QNr� SAMPLERS NAME:�G��� <br /> i <br /> CLOSURE IN PLACE I MIXTURE: VOLUME: <br /> DRAW SITE HAP ON REVERSE <br /> Ell 2:1 04:1(7/88) <br />