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SJLHD - UN tGROUND 'TANK CLO5UNE/ALLAN. .111"11'1' INUPL•'C:T1UN <br /> (S!lADFD ARZ?`A TO DF, FILLED IN FOR TNF % RST TANK ONLY) <br /> G OWNER NAME <br /> E . <br /> OWNER PHONE I <br /> N r CONTRACTOR ' <br /> E <br /> CON. PHONEN <br /> R SJLH PERMIT tl EPA I FIRE PERMIT 0 <br /> L; " y. y " <br /> INSPECTOR Ib DATE IZ�I1 �Z TANK 1 39 - - <br /> R RINSED Y N) METHODTyt K AP- RINSE AMOUNTf <br /> • I <br /> N RINSATE DISPOSAL SITE <br /> S <br /> E MANIFEST Y �jZOS?J IZ� -OR- OTHER <br /> AV VAPORS PURGED Y N) METHOD AMOUNT USED /51f <br /> P L.E.L. READING AT REMOVAL (MUST BE C <br /> 0 <br /> T R COMMENTS <br /> A <br /> N TANK MATERIA ( STEEL FIBERGLASS, OTHER) TANK SIZE �a <br /> K C // n <br /> / 0 TANK CONDITION (GOOD, POOR HOLES) �yr0`�� Z°Ul CYUST) �taa� <br /> P N <br /> I S PIPE MATERIAL (STEEL, FIBERGLASS, OTHER) Y FEET <br /> P T <br /> I PIPING CONDITION (GOOD, POOR, HOLES) <br /> N <br /> G EPT OIL TYPE OBSERVATLON SA PLE Y <br /> T <br /> F A 6 110 <br /> I N l�� <br /> E K <br /> L <br /> DEXCAVATION SIZE: X X S OF SOIL: <br /> 3- <br /> I A DEPTH SOIL TYPE OBSERVATION SAMPLE <br /> N M P <br /> S P I n <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 G.W. : FT SAMPLING METHOD <br /> N 2 <br /> 0 1 OF HOURS SINCE DEWATERING: <br /> aOTHER SAMPLE: <br /> LABORATORY: SAMPLERS NAME A <br /> CLOSURE IN PLACE I MIXTURE: N VOLUME: <br /> DRAW SITE MAP ON REVERSE <br />