Laserfiche WebLink
SJLHD - UNC GROUND 'TANK CLOSURE/AyAND RENT INSYEC'1'JUN <br />(SHADED <br />y�(A RtPA1JyT(O JBE JFJILJLJE.yDJ IN FOR THE FfRST TANK ONLY) <br />11 TZrY.-111Y.tRY9f]'l'Y.S�NLi1J U7T'U U�4'�1"I'iI''I':I'1.'IH.v(ilvli�ii�l�l'J�1J.'f:l--------------- <br />I � SITE N.AML "-_.�.•.••r••:.:,nY.na�EaKacx- <br />x- l td'X-lB]t�'d'1TR'-R-Y.-`�tj? '�i14'� <br />l iJ <br />G e OWNER NAME <br />OWNER PHONE q <br />E <br />N 'CONTRACTOR <br />CON. PHONE# <br />E <br />R SJLHD PERMIT I EPA Y FIRE PERMIT q <br />INSPECTOf��i DATE TANK q 39 <br />7 i <br />R RINSED N) METHOD RINSE M NT <br />I �C> <br />N RINSATE DISPOSAL SITE <br />S <br />E <br />MANIF1ST I -OR- OTHER <br />VAPORS PURGED ,(Y/ ) <br />METHOD ro <br />AMO UNT USED x <br />i,00v <br />V <br />A <br />PO <br />L.E.L. READING AT REMOVAL (MUST BE < 20t)�.� <br />T <br />R <br />COMMENTS <br />A <br />N <br />TANK MATERIAL, STEEL; FIBERGLASS, OTHER) <br />TANK SIZE <br />K <br />C, <br />D� <br />/ <br />0 <br />TANK CONDITION (GOOD, POOR, HOLES) <br />P <br />N <br />„I <br />S <br />PIPE MATERIAL FIBERGLASS, OTHER) <br />q FEET <br />P <br />T <br />I <br />PIPING CONDITION (GOOD,iPO HOLES) <br />N <br />, <br />G <br />DEPTH SOIL TYPE <br />OBSERVATION <br />SAMPLE <br />T/ <br />F <br />A <br />O <br />z-! <br />I <br />N <br />E <br />K <br />L <br />D <br />EXCAVATION SIZE: X X <br />YDS OF SOIL: <br />I <br />A <br />DEPTH SOIL TYPE OBSERVATION <br />SAMPLE q <br />N <br />M <br />P <br />S <br />P <br />I <br />=77C(m <br />P <br />L <br />P <br />E <br />I <br />E <br />C <br />N <br />TR$NCH DIMENSION X X YDS OF SOIL <br />T <br />G <br />I <br />— <br />0 <br />H DEPTH TO C.N.: FT SAMPLING METHOD <br />N <br />2 <br />0 <br />q OF HOURS SINCE DEWATERING: <br />07 <br />OTHER SAMPLE: <br />L1 <br />LABORATORY: 2� L p <br />SAMPLERS NAME: <br />CLOSURE IN PLACE <br />MIXTURE: <br />VOLUME: <br />DRAW SITE MAP ON REVERSE <br />