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SJLHD - UNDER' )UND TANK CLO$UR):/AIWMDOHP 'T 1141 k;ECT1uC1 <br /> (SHADED AREA --:,O BE FILLED IN FOR THE FIf�' TANK ONLY) <br /> G OHNER NAME Q .T OWNER PHONE Y3Z ��3I <br /> E tet: <br /> N CONTRACTORGRL CON. PHONEY <br /> E <br /> R SJLHD PERMIT Y EPA Y FIRE PERMIT Y <br /> L I, will .11:vm <br /> INSPECTOR,, DATETANK39 - 31_ <br /> R RINSED (Y/N) METHOD RINSE AMOUNT <br /> I <br /> N RINSATE DISPOSAL SITE <br /> S <br /> E MANIFEST Y -OR- OTHER <br /> V VAPORS PURGED (Y/N) METHOD /)/1 E AMOUNT USED v <br /> A <br /> P L.E.L. READING AT REMOVAL (MUST BE < 208) <br /> 0 <br /> T R COMMENTS <br /> A <br /> N TANK MATERIAL STEEL FIBERGLASS, OTHER) TANK SIZE 3v �� <br /> K C <br /> / 0 TANK CONDITION GOOD POOR, HOLES) <br /> P N <br /> II T PIPE MATERIAL (STEEL FIBERGLASS, OTHER) Y FEET 0 ex v/I ) <br /> I PIPING CONDITION GOOD, POOR, HOLES) <br /> N <br /> G h DEPTH SOIL TYPE OBSERVATION SAMPLE Y <br /> T <br /> F r t A <br /> I k N <br /> i <br /> E � � K <br /> D �S� EXCAVATION SIZE: ! L X -'2L X YDS OF SOIL : <br /> I A DEPTH SOIL TYPE OBSERVATION SAMPL Y <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 Y OF HOURS SINCE DEHATERING: <br /> ❑O OTHER SAMPLE: <br /> LABORATORY: ��L � SAMPLERS NAME: <br /> el R <br /> CLOSURE IN PLACE MIXTURE: VOLUME: <br /> DRAW SITE MAP ON R'RVERSE <br /> HIT 2:1 01:1(7/88) <br />