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S�LHu - UNDEr' 'RUUND TANK CLOSURE/A$ANDON 'NT INSPECTION <br /> (SHADED ARE. _PO BE FILLED IN FOR THE FI .T TANK ONLY) <br /> . . . . . . . . . . . . . . . . <br /> T <br /> s. ciy <br /> G OWNER NAME i T _/� OWNER PHONE # <br /> E Ue4 <br /> N CONTRACTOR OQ (IAL Ccrosf CON. PHONE# <br /> E <br /> R < SJLHD PERMIT # EPA # <br /> A FIRE PERMIT # <br /> L <br /> INSPECTOR , DATE _ TANK # 39 <br /> R RINSED (Y/ <br /> I N) METHOD +'+'x �igov oy/Q , r RINSE AMOUNT <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 MATERIALEEL;; FIBERGLASS, OTHER) TANK SIZE <br /> K C c , <br /> / 0 TANK CONDITION (GOOD, POOR, HOLES) <br /> P N <br /> I S PIPE MATERIAL (.STEEL„ YIBERGLASS, OTHER) # FEET Li•�'C�,`�� <br /> P T _. <br /> I IPIPING CONDITION (GOOD, POOR, HOLES) <br /> N <br /> G DEPTH SOIL TYPE OBSERVATION SAMPLE # <br /> T c <br /> F A 5 ' — 'VA <br /> I N <br /> E K <br /> L <br /> D EXCAVATION SIZE: _L X1! 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 <br /> 0 H DEPTH TO G.W. : FT SAMPLING METHOD <br /> N 2 <br /> 0 # OF HOURS SINCE DEWATERING: <br /> OTHER SAMPLE: <br /> ❑0 <br /> LABORATORY: SAMPLERS NAME: <br /> CLOSURE IN PLACE MIXTURE: VOLUME: <br /> DRAW SITE MAP ON REVERSE <br />