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SJLHD - UND....IROUND 'TANK CLOSURE/A1)ANDL�L•:NT 1NSPECTIUN <br /> (SHADED. AREA TO BE FILLED IN FOR THE FIRST TANK ONLY) i <br /> G OWNER 'NAME a'u� �` ` OWNER PHONE # <br /> E /C Y 7 <br /> N < CONTRACTOR CON. PHONE# <br /> R < SJLHD;PERMIT # EPA # FIRE PERMIT # a(o� <br /> INSPECTOR DATE y-e� 5--6 TANK # 39 <br /> R RINSED +PYN) METHOD wirrlP / iw5c RINSE AMOUNT <br /> I 5 D <br /> N RINSATE DISPOSAL SITE <br /> S <br /> E MANIFEST # -OR- OTHER <br /> V VAPORS PURGED N) METHOD y ,: e- AMOUNT USED <br /> A <br /> P L.E.L. READING AT REMOVAL (MUST BE < 20%) <br /> 0 <br /> T R COMMENTS <br /> A <br /> N TANK MATERIAL (STEL, FIBERGLASS, OTHER) TANK SIZE <br /> K C <br /> / 0 TANK CONDITION (GOODS POOR, HOLES) <br /> P N <br /> I S PIPE MATERIAL STEED FIBERGLASS, OTHER) # FEET /n ' <br /> P T <br /> I PIPING CONDITION (G00 POOR, HOLES) <br /> N <br /> G DEPTH SOIL TYPE OBSERVATION SAMPLE # <br /> T <br /> F A L/ <br /> I N iS <br /> E K c, •z v�� � - < �/ scc/ kG-.- l� /'soPnSei <br /> L <br /> D EXCAVATION SIZE: X .�;L X YDS OF SOIL: <br /> 3: <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 rah hvcs <br /> N 2 <br /> 0 # OF HOURS SINCE DEWATERING: <br /> 1 071 OTHER SAMPLE: <br /> LABORATORY: SAMPLERS NAME: <br /> CLOSURE IN PLACE MIXTURE: VOLUME: <br /> DRAW SITE MAP ON REVERSE <br /> 1?II 2:1 01:1(7/88) <br />