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SJL.H11 - UnDSiNr-RUUND TANK CLOSURi,/ABANDONMw:NT INSPECTION <br /> (SHADED ARE 9 BE FILLED SN FOR THE F. <br /> TANK ONLY) <br /> .C J C/'LI.LOM��I�I Y LIQ <br /> G < OWNER 1NAME j�� OWNER PHONE Zay 83 Z_ <br /> N < CONTRACTOR CON. PHONE# <br /> E <br /> R SJLHD PERMIT # EPA # FIRE PERMIT # <br /> A <br /> rL RINSPECTO , DATE,---/,," ' TANK # 39 <br /> — <br /> R RINSED (Y/N) METHOD RINSE AMOUNT <br /> I <br /> N RINSATE DISPOSAL SITE <br /> S <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 C 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 WSIZE- <br /> SAMPLETION SAMPLE # <br /> F AI N !E KLD X YDS OF SOIL: <br /> S- <br /> I A DEPTH SOIL TYPE j0BSjERjVATR1ON SAMPLE # <br /> N M P <br /> S P I <br /> P L P <br /> E I E <br /> C N <br /> T G TRENCH DIMENSIONYDSj0FOIL <br /> I <br /> 0 H DEPTH TO G.W. : FT SAMPLING METHOD <br /> N 2 <br /> 0 # OF HOURS SINCE DEWATERING: <br /> ❑O OTHER SAMPLE: <br /> LABORATORY: SAMPLERS NAME: <br /> CLOSURE IN PLACE I MIXTURE: VOLUME: <br /> DRAW SITE MAP ON REVERSE <br />