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S,1LHU - UNDEe`!UUND TANK CLOSURE/ABANDONh' NT INSPECTION <br /> (SHADED AREj. 'O BE FILLED TN FOR THE FI. P TANK ONLY) <br /> [[A <br /> OWNER NAME � Gt OWNER PHONE # <br /> CONTRACTOR ��S,I CON. PHONE# <br /> T <br /> < SJLHD PERMIT # EPA # FIRE PERMIT # <br /> . . . . . . . . . . . . . WA <br /> i <br /> INSPECTOR DATE z _ TANK # 39 <br /> R RINSED (YN 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 4. <br /> P L.E.L. READING AT REMOVAL (MUST A < 20%) <br /> 0 <br /> T R COMMENTS <br /> A <br /> N TANK MATERIA ( STEEL FIBERGLASS, OTHER) TANK SIZE lia X't <br /> K C <br /> / O TANK CONDITION (GOOD, POOR, HOLES) <br /> Ll P N Nu tC[ t: Leh <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 ��+ + LlaAd. i ,� et l <br /> E K <br /> L z <br /> D EXCAVATION SIZE: J-9�X –K! X _(JyI YDS OF SOIL : ` ,7lP Qly. <br /> SL 11- <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 I 1I - <br /> 0 H DEPTH TO G.W. : FT SAMPLING METHOD <br /> N 2 <br /> 0 # OF HOURS SINCE DEWATERING: <br /> H0 OTHER SAMPLE: <br /> LABORATORY: SAMPLERS NAME: <br /> CLOSURE IN PLACE MIXTURE: VOLUME: <br /> DRAW SITE NAP ON REVERSE <br />