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SJi,1iQ - UNDEP�"ftUUND 'YANK C:f,USUFtL/AiANDUI N'i' IN:;i'EC'i'lUN <br /> (SHADED AR - i'0 BE FILLED IN FOR THE FJqpT TANK ONLY) <br /> f <br /> G < OWNER NAME ( OWNER PHONE #�a !) <br /> E <br /> N CONTRACTORCON . PHONE# <br /> E �I <br /> R SJLHD P MI T # EPA # FIRE PERMIT <br /> HIINSPECTOR !t DATE f a° TANK # 39 - - 03�il <br /> R RINSED Y N) METHOD � . � RINSE MOUNT <br /> I <br /> N RINSATE DISPOSAL SITE Lo <br /> S <br /> E MANIFEST # a7 ,' lP -OR- OTHER <br /> V VAPORS PURGED /N) METHOD�N ,Le AMOUNT USED <br /> A I <br /> P L.E.L. READING AT REMOVAL (MUST BE < 20%) <br /> 0 <br /> T R COMMENTS <br /> A <br /> N TANK MA'T'ERIAL STEE , FIBERGLASS,f3EftE;LASS, OTHER)} TANK S I ZE <br /> K C <br /> j 0 TANK CONDITION OOD POOR, HOLES) c' S cAa- d AM <br /> P N <br /> I US PIPE MATERIAL STEEL, FIBERGLASS, OTHER) # FEETP IPIPING CONDITION (GOOD, POOR, HOLES ) PX <br /> N <br /> G DEPTH SOIL TYPE OBSERVATION r SAMPLE # <br /> T <br /> F A {�' <br /> I N <br /> E K <br /> L <br /> D EXCAVATION SIZE: 4QM X X YDS OF SOIL : <br /> s: <br /> I A DEP'T'H 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 YDS OF SOIL <br /> I <br /> 0 H DEPTH TO G.W. : ;7T7 <br /> T SAMPLING METHOD <br /> N 2 <br /> 00Ell <br /> 1 OF HOURS SINCE DEWATERING: <br /> OTHER SAMPLE: <br /> LABORATORY: f J SAMPLERS NAME: <br /> CLOSURE IN PLACE MIXTURE: VOLUME: <br /> DRAW SITE MAP ON f EVE'RSE <br /> 1-Al 2.3 04:3(7/88) <br />