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SJLHD — UNDER' OUND TANK CLOSURE/AIIANDONP' '4T INSPECTIONS U r i <br /> (SHADED AREA,- O HE FILLED IN FOR THE FIJ*..f TANK ONLY) <br /> Tjzl.lGKiN� � <br /> G OWNER 'NAME zy?/ Msl Ri�o3A O'e OWNER PHONE Ycry/_f36/ <br /> E o�sY7o.✓ ca4 1'LaS <br /> N CONTRACTOR �Cj5I'D nl � n10uST)p CON. PHONEM ' 7- 0 -y62- 99// <br /> EoaiSo yf f <br /> R SJLHD PERMIT 1 EPA FIRE PERMIT b Jz8� 6 <br /> L ; `�� <br /> INSPECTOR/yj,R, -f DATE �S� TANK 1 39 - <br /> R RINSED (Y/N) METHOD RINSE AMOUNT <br /> I <br /> N RINSATE DISPOSAL SITE <br /> S <br /> E MANIFEST M -OR- OTHER <br /> V VAPORS PURGED (Y/N) METHOD �R\ �� AMOUNT USEDZOO <br /> A <br /> P G.E.L. READING AT REMOVAL (MUST BE < 20%) <br /> 0 <br /> T R COMMENTS MF6 ,-ej <br /> A <br /> N TANK MATERIALSTEEL, FIBERGLASS, OTHER) TANK SIZE12oo Lo <br /> K C <br /> / 0 TANK CONDITION (GOOD P HOLES) <br /> P N <br /> I S PIPE MATERIAL (STEEL IBERGLAS , OTHER) Y FEET $ / <br /> P T <br /> I PIPING CONDITION GOOD POOR, HOLES ) <br /> N <br /> G DEPTH SOIL TYPE OBSERVATION SAMPLE R <br /> T I <br /> li r FIU N s�.• i dl r.. f�U O�.I._,;._. <br /> I N �- 7 R _ c <br /> F A I oR <br /> E K , — AIL 'dO oY'e-< <br /> L <br /> D EXCAVATION SIZE: X X / DS OF SOIL: l ©G� LAS <br /> Y <br /> S- <br /> I A DEPTH SOIL TYPE OBSERVATION SAMPLE M <br /> N M P <br /> S P I � <br /> P L P <br /> E I E <br /> C N 0 , 1 <br /> T G TRENCH DIMENSION XX .�v YDS OF SOIL <br /> I <br /> 0 H DEPTH TO C.W. : FT SAMPLING METHOD <br /> N 2 <br /> 0 1 OF HOURS SINCE DEWATERING: <br /> ❑O OTHER SAMPLE: <br /> LABORATORY: �` C111 /> SAMPLERS NAME:"2( MgXSJN <br /> i <br /> CLOSURE IN PLACE I MIXTURE: VOLUME: 71 <br /> DRAW SITE MAP ON REVERSE <br /> lilt 2:1 013(7/88) <br />