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SJLHD - UNF 'GROUND 'TANK CLOSURE/AI(ANDC 'MENT INSPECTIUN <br /> (SHADED Ales TO BE FILLED IN FOR THE �2ST TANK ONLYADD ) <br /> G OWNER NAME OWNER PHONE 4 <br /> E <br /> N CONTRACTOR CON. PHONEM <br /> E ' <br /> R < SJLHD PERMIT Y EPA Y FIRE PERMIT I I2� <br /> L . . . <br /> INSPECTOR k DATE t C TANK tl 39 <br /> R RINSED (qw METHOD RINSE AMOUNT-- <br /> - I <br /> N RINSATE DISPOSAL SITE <br /> S <br /> E MANIFEST Y -OR- OTHER <br /> V VAPORS PURGED ( N) METHOD bi`�j AMOUNT USED <br /> A <br /> P L.E.L. READING AT REMOVAL (MUST BE < 208) <br /> 0 <br /> T R COMMENTS <br /> A <br /> N TANK MATERIAL ( EEL FIBERGLASS, OTHER) TANK SIZE 1000 ( .�L <br /> K C <br /> / O TANK CONDITION (GOOD R, HOLES) <br /> P N <br /> I S PIPE MATERIAL k.STEEL FIBERGLASS, OTHER) M FEET 'z5� <br /> P T <br /> I PIPING CONDITION (GOOD, POOR, #LES) <br /> N <br /> G DEPTH SOIL TYPE OBSERVATION SAMPLE Y <br /> T 1- ice <br /> F A <br /> I N rl Z o <br /> E K * Z <br /> L <br /> DLi EXCAVATION SIZE: Q X __L-j--X YDS OF SOIL: <br /> S- <br /> I A EPTH SOIL TYPE OBSERVATION SAMPLE p <br /> N M P <br /> S P I <br /> P L P <br /> E I E <br /> C N <br /> T GTRENCH DIMENSION X _ X YDS OF SOIL <br /> I <br /> 0 H DEPTH TO G.W. : FT SAMPLING METHOD <br /> N 2 <br /> 0 t OF HOURS SINCE DEWATERING: <br /> F 07 OTHER SAMPLE: <br /> LABORATORY: SAMPLERS NAME: <br /> i <br /> CLOSURE IN PLACE MIXTURE: VOLUME: <br /> DRAW SITF MAP ON REVERSE <br /> I'll 23 04:1(7/88) <br />