Laserfiche WebLink
SJLHu - UAbEt?GRUUNL 'TANK CLOSU,,,�/AJAANDONMENT INSPECTION <br /> (SHADED AR TO BE FILLED IN FOR THE F T TANK ONLY) <br /> 1 loluY Y <br /> 1 <br /> ]C� ± <br /> G OWNER NAMF, OWNER PHONE # <br /> E <br /> N CONTRACTOR`l ' <br /> E � /,_4V CON. PHONE# <br /> R SJLHD PERMIT # EPA # FIRE PERMIT # < <br /> A <br /> L <br /> L p <br /> INSPECTOR S DATE/( TANK # 39 <br /> R RINSED (YIN) METH6D RINSE AMOUNT <br /> I <br /> N RINSATE DISPOSAL SITE <br /> S <br /> E MANIFEST # -OR- OTHER <br /> V VAPORS PURGED �N) METHO y AMOUNT USED ,�,� <br /> A <br /> P L.E.L. READING AT REMOVAL (MUST E < 20%) <br /> 0 !6 <br /> T R COMMENTS <br /> A <br /> N TANK MATERIAL ( STEEL, FIBERGLASS, OTHER) TANK SIZE / Xf <br /> K C <br /> / 0 TANK CONDITION (GOOD, POOR, HOLES) e'G u79 <br /> P N <br /> I S PIPE MATERIAL (STEEL, FIBERGLASS, OTHER) # FEET <br /> P T <br /> I PIPING CONDITION (GOOD, POOR, HOLES ) <br /> N <br /> G DEPTH SOIL TYPE OBSERVATION SAMPLE # <br /> T { Gtir+ Y� <br /> F A <br /> I N OvL Sum Om (..oa"v <br /> E K ct..n. Al <br /> L <br /> D EXCAVATION SIZE: IY X �`I X FY 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 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 /> OTHER SAMPLE: <br /> LABORATORY: /'/ �J ' ,r; � �,y SAMPLERS NAME: <br /> CLOSURE IN PLACE MIXTURE: VOLUME: <br /> DRAW SITE MAP ON REVERSE <br /> 4 <br />