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SJLHD - UNDE' f'ROUND TANK C:LO URE/AUNDO*' NT 114S;VL•'�:TIUN <br /> (SHADED ARAT0 BE TWILLED IN FOR THE FT TANK ONLY) <br /> G;U rPsi�uC Vii't2 u <br /> G OWNER NAME _ OWNER PHONE 9 d <br /> E r r <br /> N CONTRACTOR C, Em c 0 CON. PHONE# <br /> E } <br /> R c SJLHD PERMIT EPA I FIRE PERMIT U <br /> L � � � : : <br /> INSPECTORDATE TANK 1 39 - -7 Q 3 - _ <br /> R RINSEDY N) METHOD I r. RINSE AMOUNT <br /> I o+.t' <br /> N RINSATE DISPOSAL SITE1he <br /> s <br /> E MANIFEST II .s.�5�n , C1 -OR-- OTHER <br /> V VAPORS PURGED 01N) METHOD , AMOUNT USED <br /> A <br /> P L.E.L. READING AT REMOVAL (MUST BP < 20%) <br /> 0 <br /> T [_Rj COMMENTS <br /> A <br /> N TANK MATERIA i SSEL)l FIBERGLASS, OTHER) TANK SIZE <br /> K C <br /> / 0 TANK CONDITION GOO , POOR, HOLES ) /(d> is f � <br /> P N <br /> I S PIPE MATERIALSTEEL FIBERGLASS, OTHER) # FEET <br /> P T <br /> I PIPING CONDITION (GOOD, POOR HOLES ) i Imo , <br /> N <br /> G DEPTH SOIL TYPE OBSERVATION I SAMP E # <br /> T Ir <br /> F A c <br /> I N r f c is <br /> E K <br /> L <br /> D EXCAVATION SIZE: X Lq- X YDS OF SOIL. <br /> s_ <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 ;;�l YDS OF SOIL <br /> I <br /> O H DEPTH TO G.W. : FT SAMPLING METHOD <br /> N 2 <br /> 0 # OF HOURS SINCE DEWATERING: <br /> ELOTHER SAMPLE: <br /> LABORATORY: Ce <br /> SAMPLERS NAME: <br /> CLOSURE IN PLACE MIXTURE: VOLUME: <br /> DRAW SITE MAP ON REVERSE <br /> .1,111 2:3 01:1(7/,"9) <br />