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SJLIID — UND ' ROUND YANK CLOS URE/AILAND ;N'I' IN;;I'E:CTION <br /> (SHADED AR TO BE FILLED IN FOR THE _-.ST TANK 014L Y) <br /> 101' <br /> .� y o s iia, To�.�c- , <br /> E OWNER NAME ` , QWNER PHONE 9 <br /> C <br /> N CONTRACTOR CON . PHONE 1 <br /> R c SJLHD PERMIT # EPA # FIRE PERMIT # <br /> I NSPECTORA X DATE 3! � ' TANK # 39 -- 1 30 <br /> R RINSED (YIN) METHOD /{�rti RINSE AMOUNTOJ <br /> I <br /> N RINSATE DISPOSAL. SITE <br /> S <br /> E MANIFEST # —OR— OTHER <br /> V VAPORS PURGED "(Y N) METHOD(-o AMOUNT USED <br /> A <br /> P L.E.L. READING AT REMOVAL (MUST BE C 20`x) 1`1 <br /> 0 <br /> T R COMMENTS <br /> A <br /> N TANK MATERIAL /(STEE,I~'i', FIBERGLASS, OTHER) TANK SIZE 000 <br /> K C - E -- - <br /> / 0 TANK CONDITION (GOOD,` POOR HOLES) <br /> P N <br /> l I S PIPE MATERIAL (`STEEf), FIBERGLASS, OTHER) # FEET <br /> 1 P T l --- -- - i <br /> I PIPING CONDITION (GOOD P00 , HOLES ) <br /> N <br /> G DEPTH SOIL TYPE OBSERVATION SAMPLE <br /> T <br /> F A 7 & c a <br /> 4� <br /> I N <br /> E K <br /> L <br /> D EXCAVATION SIZE: X X YDS OF SOIL : <br /> S- <br /> I A DEPTH SOIL TYPE OBSERVATION SAMPLE <br /> N M P <br /> S P I w ti <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 /> 7ol <br /> 0 # OF HOURS SINCE DEWATERING: <br /> OTHER SAMPLE: IlIq <br /> L <br /> F <br /> —ABORATORY: ��� � SAMPLERS NAME: <br /> CLOSURE IN PLACE I MIXTURE: VOLUME: <br /> DRAW SITE MAP ON REVERSE <br /> 1-:11 2:3 04'3(7/88) <br />