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SJLHD - UNDERG JND 'TANK CLOSURE/A1(AND0NML,.,, INSPEC'TIUN <br /> (SHADED AREA 7MJ BE FILLED IN FOR THE FIRST TANK ONLY) <br /> G <br /> OWNER NAME �/ OWNER PHONE # _2O 9— <br /> s <br /> N CONTRACTOR CON. PHONE# ' f/j f�7_9/5 <br /> E <br /> R SJLHD PERMIT # ` EPA # FIRE PERMIT # <br /> L <br /> INSPECTOt DATE /S/ TANK # 39 - �/o - �- <br /> R RINSED N) METHOD N'a // // RINSE AMOUNT /S(J <br /> I <br /> '!'MEN <br /> N RINSATE DISPOSAL SITE /� /� x� <br /> S <br /> E MANIFEST # -OR- OTHER <br /> V VAPORS PURGEDY N) METHOD/�e , AMOUNT USED <br /> A <br /> P L.E.L. READING AT REMOVAL (MUST BE < 20%) <br /> O <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 <br /> E K <br /> D EXCAVATION SIZE: -33 XX11 <br /> � YDS OF SOIL: <br /> S - <br /> I A DEPTH SOIL TYPE OBSERVATION SAMPLE # <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 /> O H DEPTH TO G.W. : FT SAMPLING METHOD <br /> N 2 <br /> 0 # OF HOURS SINCE DEWATERING: <br /> ❑O OTHER SAMPLE: <br /> LABORATORY: SAMPLERS NAME: <br /> ..J <br /> CLOSURE IN PLACE MIXTURE: VOLUME: <br /> DRAW SITE MAP ON REVERSE <br /> IN[ 23 043(7/88) <br />