Laserfiche WebLink
JJLHU - UNUEN^2UUND TANK CLOSURE/AB}1NDON' -NT INSPECTION <br /> (SHADED ARE,-_,,'O BE FILLED IN FOR THE FI. T TANK ONLY) <br /> G OWNER NAME OWNER PHONE # <br /> E t <br /> N CONTRACTOR <br /> E k �L CON. PHONE# �� 5 <br /> R < SJLHD PERMIT # EPA # FIRE PERMIT # <br /> L i <br /> INSPECTOR f4 �� DATE _ TANK # 39 <br /> R RINSED (Y METHOD RINSE AMOUNT <br /> I <br /> N RINSATE DISPOSAL SITE <br /> S <br /> E MANIFEST # -OR- OTHER <br /> V VAPORS PURGED 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 U <br /> / 0 TANK CONDITION (GOOD, POOR, HOLES ) BF N lc hem .bt, l(e Q w/ t <br /> P N <br /> I S PIPE MATERIAL (STEEL, FIBERGLASS, OTHER) # FEET N o N <br /> P T <br /> I PIPING CONDITION (GOOD, POOR, HOLES) <br /> N <br /> G DEPTH SOIL TYPE OBSERVATION SAMPLE # <br /> T <br /> F A 3 -.Av. A o c v N 1 o S 1 <br /> E K <br /> L ti <br /> D EXCAVATION SIZE: _- X X `i YDS OF SOIL : i <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 <br /> 0 H DEPTH TO G.W. : FT SAMPLING METHOD <br /> N 2 <br /> 0 1 # OF HOURS SINCE DEWATERING: <br /> 1-011 OTHER SAMPLE: <br /> LABORATORY: SAHPLERS NAME: <br /> CLOSURE IN PLACE MIXTURE: VOLUME: <br /> DRAW SITE NAP ON REVERSE <br />