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SJLHD - UNDERGROUND TANK CLOSURE/AUNDONML•'NT INSYEC'P1 UN <br />(SHADED AREA TO BE FILLED IN FOR THE FIRST TANK ONLY) <br />f��t�t�i��`�t'�i'3i���a`i'SLG'b'tf�E�C.�f,�f,lc�fa:Isis:u:x:�u:.u:�..,�,�„'-'-"•-'-•-- . . <br />G OWNER NAME <br />E i B. Devi <br />N CONTRACTOR <br />R SJJLH PERMIT I <br />L �I�- rT9"fi f i�1fii't ni <br />T <br />A <br />N <br />K <br />P <br />I <br />P <br />I <br />N <br />C <br />i <br />OWNER PHONE 1 / <br />CON. PHONE#' <br />FIRE PERMIT 1 l3,/sem <br />INSPECTOR 61,Cj, <br />DATE <br />S -3v <br />TANK 1 39- <br />R <br />2 <br />RINSED (YIN) <br />METHOD fy, /e <br />RINSE AMOUNT <br />N <br />3 <br />RINSATE DISPOSAL SITE <br />C`�s�f � 0, e, A7 <br />Y <br />E <br />MANIFEST M <br />/ <br />V <br />A <br />VAPORS PURGED (YIN) <br />-OR- OTHER <br />METHOD ' f" < <br />L N <br />AMOUNT USED <br />P L.E.L. READING AT REMOVAL (MUST <br />O BE < 201) <br />R COMMENTS <br />C TANK MATERIAL (S E FIBERGLASS# OTHER) TANK SIZE <br />0 TANK CONDITION 0 <br />N POOR, HOLES) <br />8 PIPE MATERIA E ASS OTHER) I FEET <br />T � <br />PIPING CONDITION UGOObtrPOORI HOLES) <br />DEPTH SOIL TYPE OBSERVATION <br />T 15TH ye s <br />A ,e •z � 4rry � <br />N <br />K <br />EXCAVATION SIZE: <br />A DEPTH SOIL TYPE <br />M P <br />P I <br />L P <br />I E <br />N <br />X X <br />OBSERVATION <br />YDS OF SOIL: <br />ie, <br />&y <br />SAMPLE U <br />SAMPLE 1 <br />G TRfiNCH DIMENSION /” X <br />YDS OF SOIL - <br />H DEPTH TO O.N.: FT <br />2 SAMPLING METHOD C�.4 <br />0 1 OF "OURS SINCE DEWATERING: <br />0 OTHER SAMPLE: <br />LABORATORY. �,— <br />�f SAMPLERS NAME: <br />CLOSURE IN PLACE MIXTURES <br />VOLUMR r^"s u. <br />