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UNDt UUNU TANK CLOSURE/AUNDO T INSPECTION <br /> (SHADED ARE.WO BE FILLED IN FOR THE Faf TANK ONLY) <br /> r zea <br /> G OWNER NAME OWNER PHONE # <br /> N CONTRACTOR <br /> E ��i7rZ� CON. PHONE# <br /> R SJLH PERMIT # A EPA #) L FIRE PERMIT # ``/1q�-31-U <br /> A <br /> L / < <br /> INSPECTOR /a DATE 'Z-ZJ0'%? TANK # 39 - <br /> R RINSED Y N) METHOD// RINSE AMOUNTB� <br /> I <br /> N RINSATE DISPOSAL SITE �e <br /> S ��C�� L <br /> d�� b <br /> E MANIFEST # -OR- OTHER <br /> V VAPORS PURGED N) METHOD 3je _ I AMOUNT USED ��S <br /> A <br /> P L.E.L. READING AT REMOVAL (MUST BE < 208) - <br /> 0 Y <br /> T R COMMENTS AI ID <br /> A <br /> N TANK MATERIAL (STEE , FIBERGLASS, OTHER) TANK SIZE 2 �� <br /> Q K C <br /> 9p / 0 TANK CONDITION (GOOD, POOR <br /> P N HOLES) O >rh <br /> �f <br /> I S PIPE MATERIAL (STEEL, FIBERGLASS, OTHER) r # FEET rj <br /> P T <br /> N PIPING CONDITION (GOOD, POOR, HOLES) l ly <br /> f2 ^ <br /> `n� J GDEPTH SOIL TYPE OBSERVATION <br /> T U �'\ � SAMPLE # <br /> t� ao F A N nk sr w"r� <br /> fig) I N 2 2 u O r - - <br /> (t L K <br /> D EXCAVATION SIZE: IOC X XYDS OF SOIL: ��Y�3 <br /> S <br /> I A DEPTH SOIL TYPE OBSERVATION SAMPLE # <br /> / N M P <br /> S P I U I Y <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 HDEPTH TO G.W. : FT SAMP NG ETHOD <br /> N 2 <br /> 0 �. <br /> # OF HOURS SINCE DEWATERING: vn 2� <br /> OTHER SAMPLE: 54me (Jt 1— / o� <br /> LABORATORY: `' SAMPLERS NAME:, <br /> CLOSURE IN PLACE MIXTURE: VOLUME: <br /> ti DRAW SITE HAP ON EVERSEIpQ- <br />