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SJLHD - UNDERGROUND TANK CLOSURE/x ,ANDONMENT INSPECTION <br /> (SHADED AR TO BE FILLED IN FOR HE *T TANK ONLY) <br /> F^ c <br /> G f OWNER NAME Pitl 1 OWNER PHONE # <br /> E oq) 5� -L) l <br /> N < C014TRACTOR ACON. PHONE# <br /> E EPCO6�icN U2 - .. lzca) 5�?4-0+�53 <br /> R SJLHD PERMIT # EPA # FIRE PERMIT # <br /> A <br /> L <br /> INSPECTOR <br /> - = DATE I,?- 1 Vc TANK # 39 <br /> R RINSED (YIN) METHOD '? 7 <br /> I - LE 4� ( 'JS RINSE AMOUNT <br /> N RINSATE DISPOSAL SITE (4PTI�lJ n�- <br /> E MANIFEST # <br /> -OR- OTHER <br /> V VAPORS PURGED (Y/N) METHOD AMOUNT USED <br /> A 1 i <br /> L C�� <br /> P L.E.L. READING AT REMOVAL (MUST BE < 20%) <br /> 0 -- <br /> T R COMMENTS <br /> A <br /> N TANK MATERIAL (STEEL, FIBERGLASS, OTHER) TANK SIZE Ir) <br /> K C <br /> / 0 TANK CONDITION ,{G00 , POOR, HOLES) <br /> P N <br /> BT PIPE MATERIAL STEE ` FIBERGLASS, OTHER) # FEET <br /> I PIPING CONDITION (GOOD, POOR, HOLES) <br /> N <br /> G T DEPTH SOIL TYPE OBSERVATION SAMPLE # <br /> _ <br /> F A I - Z 10, a�, 5t - xr„ �1, '' .« - <br /> I N <br /> E K <br /> L <br /> D EXCAVATION SIZE: X �� � =1 <br /> S_ X _1 YDS OF SOIL: <br /> I A DEPTH SOIL TYPE OBSERVATION SE # <br /> N M P AMPL <br /> S P I <br /> P L P <br /> E I E <br /> CN <br /> T G TRENCH DIMENSION <br /> I X X YDS OF SOIL <br /> 0H DEPTH TO G.W. : D"�NGrFT SAMPLING METHOD <br /> N 2 <br /> 0 # OF HOURS SINCE DEWATERING: <br /> 0 OTHER SAMPLE: <br /> LABORATORY: / SAMPLERS NAME: <br /> CLOSURE IN PLACE MIXTURE: VOLUME: <br /> DRAY SI78 NAP ON REVERSE <br />