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SJLHD - UN :GROUND 'TANK CLb"Ujtj,/j l ANL !11.11'1' 114:iPEC:T1 UN <br /> (SHADED APT.-A TO LF. FILLED IN FOR T1fE FIRST TANK ONLY) <br /> G OWNER NAME ' <br /> E OWNER PHONE p <br /> N CONTRACTOR <br /> E CON. PHONEp <br /> i•' <br /> R SJL D PERMIT I EPA I FIRE PERMIT p <br /> t 1 *Kell <br /> INSPECTOR l� DATE Z1�1 1 TANK p 39 - LLQ_ - J2i <br /> R RINSED Y N) METHOD rl YjI RINSE AMOUNT` <br /> I <br /> N RINSATE DISPOSAL SITE L� <br /> S <br /> E MANIFEST I Z -OR- OTHER <br /> V VAPORS PURGED N) METHOD AMOUNT USED �f5/ <br /> A <br /> P L.E.L. READING AT REMOVAL (MUST BE < 20%) �Ci� D OZ <br /> 0 <br /> T R COMMENTS <br /> A <br /> N TANK MATERIAL (STEEL FIBERGLASS, OTHER) TANK SIZE 0 <br /> K C I MD <br /> / 0 TANK CONDITION (GOOD POOR HOLES) nJ(rf �yyps�y� h0 <br /> P N <br /> I S PIPE MATERIA (STEEL, FIBERGLASS, OTHER) Y FEET <br /> P T <br /> I PIPING CONDITION (GOOD, POOR, HOLES ) <br /> N <br /> G T DEPT OIL �o � OBSERVATION S MP p <br /> F A ! - b leas+ <br /> I N 1 Aj 0 O 02- <br /> E <br /> ZE K <br /> L } <br /> D EXCAVATION SIZE: SLI X ZL/ X (Z' YDS OF SOIL: <br /> S-. — <br /> I A DEPTH SOIL TYPE OBSERVATION SAMPLE p <br /> N M P Diol - <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 /> 0 H DEPTH TO C.N. : FT SAMPLING METHLD <br /> N 2 <br /> 0 p OF HOURS SINCE DEWATERING: <br /> ❑O OTHER SAMPLE: <br /> i <br /> LABORATORY: SAMPLERS NAME/. r L <br /> CLOSURE IN PLACE MIXTURE: VOLUME: <br /> lilt 2:1 013(7/H8) DRAW SITE MAP ON REVERSE <br />