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ND TANK <br /> IUN <br /> s(SHADEDOARRKGTOUBE FILLEDLINUFORTp nr.TiTA KrON;iY) <br /> TANK ONLY) <br /> G a OWNER NAME rl 1� OWNER PHONE # 2- <br /> E <br /> N < CONTRACTORpn �_ ' l CON. PHONE# <br /> E <br /> R < SJLHD PERMIT # EPA # FIRE PERMIT # <br /> A <br /> L <br /> INSPECTOR DATE I I �.`�� TANK # 39 - U - <br /> R RINSED (Y/N) METHOD RINSE AMOUNT <br /> I <br /> N RINSATE DISPOSAL SITE <br /> S <br /> E MANIFEST # -OR- OTHER <br /> i <br /> V VAPORS PURGED (Y/N) METHOD AMOUNT USED <br /> A <br /> P L.E.L. READING AT REMOVAn(M E_ :._208) <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, POOR, HOLES) <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 Asx - v c c(r✓ <br /> E K 1 s- c 6' <br /> L ' <br /> D EXCAVATION SIZE: ,! X 2� X I !_ YDS OF SOIL : <br /> S- <br /> I A DEPTH SOIL TYPE OBSERVATION SAMPLE # <br /> N M P <br /> S P I lc ( l ( <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 mo <br /> DEPTH TO G.W. : FT SAMPLING METHOD <br /> N <br /> # OF HOURS SINCE DEWATERING: <br /> HFo-11 <br /> OTHER SAMPLE: <br /> LA80RATORY: ' } SAMPLERS NAME: I <br /> A I end; <br /> CLOSURE IN PLACE I MIXTURE:t VOLUME: <br /> DRAW SITE MAP ON REVERSE <br />