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�mci l3 at <br /> ;SJLHD <br /> ME s h OWNER PHONE # <br /> OR �� CON. PHONEM <br /> RMIT t EPA i FIRE PERMIT N <br /> R DATE y l %j TANK 6 39 - - <br /> R RINSEDqf' ) METHOD h (� RINSE AMOUNT <br /> I <br /> N RINSATE DISPOSAL SITE P <br /> S <br /> E MANIFEST # -OR- OTHER <br /> V VAPORS PURGED (Y)N) METHOD(-C'G AMOUNT USED/f ��(} <br /> A <br /> P L.E.L. READING AT REMOVAL (MUST BE < 20%) /y/A <br />_ 0 <br /> T R COMMENTS <br /> A <br /> N TANK MATERIAL (STEEL, FIBERGLASS, iOTHER) TANK SIZE <br /> CGet-S Dw�. ..w <br /> / 0 TANK CONDITION (GOOD POO HOLES a > <br /> P N <br /> I S PIPE MATERIAL (STEEL FIBERGLASS, OTHER) i FE <br /> P T <br /> I PIPING CONDITION (GOOD, POOR HOLES ) <br /> N <br /> G DEPTH SOIL TYPE OBSERVATION SAMPLE # <br /> T /, Jew Ph a � W <br /> F A 5 r <br /> I N <br />.,a E K <br /> ' L <br /> D EXCAVATION SIZE: « X Zi_L X / Z' YDS OF SOIL: <br /> S-_ <br /> I A DEPTH SOIL TYPE OBSERVATION SAMPLE M <br /> N M P 3, dC <br /> S P I �7 pS/ <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 C OF HOURS SINCE DEWATERING: <br /> OTHER SAMPLE: <br /> ❑O <br /> HHl LABORATORY: (U , ce SAMPLERS NAME: f'_ ( <br /> CLOSURE IN PLACE MIXTURE: VOLUME: <br /> DRAW SITE MAP ON REVERSE <br />