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� rl. - u ib6dGRUUNL 1'ANA CLUSUR9/A6ANUUNhr.;w1' 1NbVEC1'lUN <br /> (SHADED ARE 0 BE FILLED .IN FOR THE F: TANK ONLY) <br /> G OWNER NAME OWNER PHONE # <br /> E <br /> N < CONTRACTOR CON. PHONE# <br /> E <br /> R < SJLHD PERMIT # EPA # FIRE PERMIT # <br /> A . . . . . . . . . . . . . . . . . . . . . . . <br /> L <br /> INSPECTOR 4,/ / DATE/ TANK TANK # 39 - � 53 . - _ <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 < 20%) <br /> 0 <br /> T R COMMENTS <br /> A <br /> N TANK MATERIAL (STEEL, FIBERGLASS, OTHER) TANK SIZE <br /> K C <br /> / O 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 P� Z <br /> I N <br /> iN" u o 77( <br /> L <br /> D EXCAVATION SIZE: X X 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 11 <br /> 0 mo <br /> DEPTH TO G.W. : FT SAMPLING METHOD <br /> N <br /> # OF HOURS SINCE DEWATERING: <br /> u❑O OTHER SAMPLE: <br /> l LABORATORY 61(- SAMPLERS NAME: <br /> CLOSURE IN PLACE MIXTURE: VOLUME: <br /> DRAW SITE MAP ON REVERSE <br />