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So1,Hu - uNDE"GRU11ND 'DANK CLOSURE/AB,ANDONMENT INSPECTION <br /> (S!!ADED AREA TC E FILLED IN FCR THE FIRST INK ONLY) <br /> i• u <br /> G OWNER 'NAME OWNER PHONE # <br /> E <br /> N CONTRACTOR CON. PHONE# <br /> E ' <br /> R SJLHD PERMIT # EPA # FIRE PERMIT # <br /> A <br /> L — <br /> INSPECTOR a DATE /iTANK # 39 - - <br /> R RINSED Y N) METHOD 6tn'm (iCRINSE AMOUNT _. <br /> I <br /> N RINSATE DISPOSAL SITE �— <br /> S -- <br /> E MANIFEST # -OR- OTHER <br /> V VAPORS PURGED 4Y/N) METHOD P ` /C�/_ AMOUNT USED <br /> s+ <br /> PL.E.L. READING AT REMOVAL (MUST BE < 203) - <br /> 0 , <br /> T R COMMENTS <br /> A <br /> N TANK MATERIAL (STEEL, FIBERGLASS, OTHER) TANK SIZE �OQ <br /> K C <br /> / 0 TANK CONDITION (GOOD, 00 HOLES ) `U 5 �' <br /> P N <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 / PQs r <br /> E K ft V d D 1 Ora fl c r_ <br /> ii „ r �tebi 1( <br /> D EXCAVATION SIZE: X X YDS OF SOIL: <br /> J <br /> S- <br /> I A DEPTH OIL TYPE OBSERVATION AMPLE # <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. : f1Dn" 6100, LL FT SAMPLING METHOD <br /> N 2 <br /> 0 I OF HOURS SINCE DEWATERING: <br /> ❑O OTHER SAMPLE: <br /> LABORATORY: SAMPLERS NAME:LiHi <br /> _— <br /> CLOSURE IN PLACE MIXTURE: VOLUME: - <br /> DRAW SITE MAP ON REVERSE <br />