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SJLHU - UHULIiGi?uU1vU 1'AHK CL.USUii::l :.iJidibLu iJitiN'1' - <br /> (SIIADED AREA BE FILLED IN FOR THE FIR TANK ONLY) <br /> 76 <br /> G f OWNER NAME / OWNER PHONE 1 j G _�JZ Z <br /> E / J <br /> E ? CONTRACTOR �Q/ey/� � [� CON. PHONEN <br /> R SJLHD PERMIT 1 EPA 1FIRE PERNIT11 <br /> INSPECTO . DATE /L- TANK 1 39 - r <br /> R RINSED (Y, METHOD RINSE AMOUNT <br /> I <br /> N RINSATE DISPOSAL SITE <br /> S <br /> E MANIFEST 1 -OR- OTHER <br /> V VAPORS PURGED /N) METHOD <br /> A jey7C� AMOUNT USED <br /> f <br /> P L.E.L. READING AT REMOVAL (MUST BE < 208) <br /> 0 <br /> T R COMMENTS <br /> A <br /> N TANK MATERIALSTEEL FI ERGLASS, OTHER) TANK SIZE ` ryas <br /> K C pi. <br /> / 0 TANK CONDITION (GOOD POOR HOLES) NS l <br /> P N C <br /> I S PIPE MATERIAL (STEEL, FIBERGLASS, OTHER) 1 FEET <br /> P T <br /> I PIPING CONDITION (GOOD, POOR, HOLES) <br /> N 1 11 <br /> G DEPTH SOIL TYPE OBSERVATION SAMPLE 1 <br /> T <br /> F A G '` <br /> I N <br /> E K <br /> D EXCAVATION SIZE: X ��zax YDS OF SOIL: /�(s <br /> S- <br /> I A DEPTH SOIL TYPE OBSERVATION SAMPLE 1 <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 /> II <br /> 0 HDEPTH TO G.W. : FT SAMPLING METHOD <br /> N 2 <br /> 0 1 OF HOURS SINCE DEWATERING: <br /> ❑O OTHER SAMPLE: <br /> LABORATORY: �G L SAMPLERS NAME: <br /> � I <br /> CLOSURE IN PLACE I MIXTURE: VOLUME: <br /> DRAW SITE MAP ON REVERSE <br /> F.11 23 O43(7/88) <br />