Laserfiche WebLink
SJLHD - UNDERr^OUND TANK CLOSURE/AUNDONMF.NT INSPECTION <br /> (SHADED AREA 0 BE FILLED IN FOR THE FII TANK ONLY) <br /> ;INSPECTOR <br /> ME OWNER PHONE #/�OR MOX�� C`uS�J CON . PHONE# <br /> /RMIT # EPA #AJA FIRE PERMIT #DATE $'t TANK # 39 - - <br /> JER RINSED (YIN) METHOD RINSE AMOUNT <br /> I <br /> N RINSATE DISPOSAL SITE <br /> S <br /> MANIFEST # -OR- OTHER j <br /> I <br /> V VAPORS PURGED ( Y/N) METHOD AMOUNT USED <br /> A <br /> P L.E.L. READING AT REMOVAL (MUST BE < 20$) <br /> 0 <br /> T R COMMENTS <br /> A <br /> N TANK MATERIAL ( STEEL, 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 /> I PIPING CONDITION (GOOD, POOR, HOLES ) <br /> N <br /> G DEPTH SOIL TYPE OBSERVATION SAMPLE # <br /> T <br /> F A <br /> I N <br /> E K <br /> L <br /> D EXCAVATION SIZE: Imp, X X jC4,,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 /> 0H DEPTH TO G.W. : FT SAMPLING METHOD <br /> N 2 <br /> 0 # OF HOURS SINCE DEWATERING: <br /> ❑O OTHER SAMPLE: <br /> HHLABORATORY' �G�li n a4qSAMPLERS NAME:kzv'o <br /> CLOSURE IN PLACE MIXTURE: VOLUME: <br /> DRAW SITE MAP ON REVERSE <br /> / <br /> I / o L) <br />