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�. nVituuivll TANK CLOSURE/ALAN MENT INSPECTION <br /> (SHADEDA TO BE FILLED IN FOR T!!L• fRST TANK ONLY) <br /> r <br /> G < OWNER NAMES OWNER PHONE # ( ao g� X35 <br /> E �� � -�- � C <br /> N CONTRACTOR C Ts1LaG(OXL�eO CON. PHONE# <br /> E �d <br /> R < SJLHD PERMIT # EPA # FIRE PERMIT # <br /> L � � ° ` <br /> INSPECTOR ' % �5 DATES �l �' TANK # 39 - - ©3 <br /> R RINSED (Y� METHOD RINSE AMOUNT <br /> - I <br /> N RINSATE DISPOSAL SITE <br /> S <br /> E MANIFEST # -OR- OTHER <br /> V VAPORS PURGED (Y N) METHOD CZ AMOUNT USED <br /> A <br /> P L.E.L. READING AT REMOVAL (MUST B < 20%) 1ct. <br /> 0 <br /> T R COMMENTS <br /> it lAiEc(iAL %�IEEL, VlbERGLA36, OIHER) TANK SIZE <br /> K C v� q <br /> / 0 TANK CONDITION GOOD, POOR, HOLES ) S �7J�d �(pS I <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 <br /> F A ctuoy a - <br /> I N a <br /> E K <br /> L <br /> D EXCAVATION SIZE: ilZ) X X J YDS OF SOIL : I <br /> I A DEPTH SOIL TYPE OBSERVATION SJkMPLE # <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 /> ❑O OTHER SAMPLE: <br /> LABORATORY: WP �� SAMPLERS NAME: <br /> CLOSURE IN PLACE MIXTURE: VOLUME: <br /> DRAW SITE MAP ON REVERSE <br /> Ell 23 043(7/88) <br />