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SJLHD - UNDERGROUND TANK CLOSURE/ABANDONMENT INSPECTION <br /> (SHADED AREA -0 BE FILLED IN FOR THE FIR"" TANK ONLY) <br /> d <br /> G OWNER NAME ' If OWNER PHONE �i <br /> ScLvnR. 4 S S t )��/ �73 <br /> E <br /> N CONTRACTOR <br /> 1 5 CON. PHONE# <br /> R SJLHD PERMIT # EPA # FIRE PERMIT # <br /> A <br /> L <br /> INSPECTOR DATE �/a a� TANK # 39 - <br /> R RINSED (Y/N) METRO RINSE AMOUNT <br /> I <br /> RINSATE DISPOSAL SITE <br /> 3 <br /> E MANIFEST # -OR- OTHER <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 Fr II anc <br /> L <br /> D EXCAVATION SIZE: f X X YDS OF SOIL : <br /> S-_ <br /> I ADEPTH 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 /> �Q OTHER SAMPLE: <br /> LABORATORY: FbL SAMPLERS NAME: Lapwanad d4 sp <br /> CLOSURE IN PLACE MIXTURE: VOLUME: <br /> DRAW SITE MAP ON REVERSE <br />