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S�LHu - UNDERG`)UND TANK CLOSURE/AB,ANDONMr T INSPECTION <br /> (SHADED AREA _ ) BE FILLED IN FOR THE FIR. TANK ONLY) <br /> G OWNER NAME OWNER PHONE / <br /> I E <br /> i E CONTRACTOR �` CON. PH( NE/ <br /> R < SJLHD PERMIT I EPA Y FIRE PERMIT Y <br /> A <br /> L < <br /> INSPECTORS DATE y� TANK i 39 <br /> R RINSED N) METHOD ��" RINSE AMOUNT <br /> I <br /> N RINSATE DISPOSAL SITE /� <br /> S Q�v <br /> E MANIFEST p -OR- OTHER <br /> V VAPORS PURGED (Y/N) METHOD <br /> A / AMOUNT USED <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 <br /> / 0 TANK CONDITION (GOOD, ((BOOR, HOLES) dVrVC5/0>c <br /> P N <br /> I S PIPE MATERIAL (STEEL, FIBERGLASS, OTHER) Y FEET <br /> P T <br /> I PIPING CONDITION (GOOD, POOR, HOLES) <br /> N <br /> G T DEPTH SOIL TYPE OBSERVATION SAMPLE Y <br /> F A <br /> I N - <br /> 1 <br /> E K 11,09 elLhAjzt <br /> L <br /> D 3- <br /> EXCAVATION SIZE: X X ,3 I YDS OF SOIL: ` <br /> I A DEPTH SOIL TYPE OBSERVATION <br /> N M P SAMPLE <br /> S P I '' ✓ry <br /> P L P <br /> E I E <br /> C N <br /> T G TRENCH DIMENSION � X X YDS OF SOIL Ila d 3 <br /> I -- <br /> 0 H DEPTH TO G.W. : F SAMPLING METHOD <br /> N 2 <br /> 0 i OF HOURS SINCE DEWATERING: <br /> OTHER SAMPLE: <br /> LABORATORY: , SAMPLERS NAME: <br /> CLOSURE IN PLACE MIXTURE: VOLUME: <br /> DRAW SITE MAP ON REVERSE <br />