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1?S pAUCU ANCA 1 N PUN <br /> '1'NC " IN,_ <br /> l N,_ '1'ANA UNLY/ <br /> G OWNER NAME - - <br /> E OWNER PHONE # <br /> - -- <br /> N CONTRACTOR --- -- <br /> E CON. PHONE# <br /> R SJLHD PERMIT # — <br /> A EPA # FIRE DEPT <br /> L - `- - i <br /> SJLHD INSPECTOR <br /> TANK # 39 <br /> R RINSED (Y METHOD BINS MOUNT <br /> I <br /> NRINSATE DISPOSAL SITE <br /> S <br /> -- l <br /> E MANIFEST # <br /> -OR- OTHER <br /> V VAPORS PURGED Y N) METHOD -- rAMOUN-TA ED <br /> A <br /> P L.E.L. READING AT REMOVAL (MUST BE C 20%) . / A <br /> 0 __ /v Ts <br /> T R COMMENTS <br /> A _ <br /> N TANK MATERIAL TE , FIBERGLASS, OTHER) TANK SIZE <br /> K C <br /> / 0 TANK CONDITION (GOOD, 0 , HOLES) <br /> P N <br /> I S PIPE MATERIAL ( , FIBERGLASS, OTHER) # FEET <br /> P T <br /> I PIPING CONDITION (GOOD, 00 , HOLES) <br /> N _ <br /> G DEPTHSOIL TYPE OBSERVATION SAMPLE # <br /> Ii T <br /> F A -_- a�-------- 7/ <br /> I N <br /> E K <br /> L <br /> D s EXCAVATION SIZE: YDS OF SOIL: <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 DIMENSIONS : YDS OF SOIL: <br /> I <br /> 0 H DEPTH TO G.W. : FTSAMPLING METHOD <br /> N 2 -- --- <br /> 0 # OF HOURS SINCE DEWATERING: <br /> Lr-0] OTHERSAMPLE: — <br /> LABORATORY: z1_ SAMPLERS NAME: <br /> CLOSURE IN PLACE I MIXTURE: VOLUME: <br /> DRAW SITE MAP ON REVERSE <br />