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u.w^"GLWUiru TANK CLOSURE/A$ANDC" ENT INSPECTION <br /> (SHADED A TO BE FILLED IN FOR THE qRST TANK ONLY) <br /> ilmwmv <br /> I- u r s c/e /- _ ra <br /> G < OWNER 'NAME <br /> S.�A T OWNER PHONE # C �ss <br /> E <br /> " N CONTRACTOR Mc CON. PHONEp <br /> E �YPC/S<o� �rlcluS/fi Cao916d_yy// <br /> R < SJLHD PERMIT # EPA # FIRE PERMIT # <br /> L � . � _ � <br /> INSPECTOR ( Gr/iC Nun/w DATE TANK 0 39 - //a3 - 03 <br /> earv� v v <br /> R RINSED (Y/N) METHOD RINSE AMOUNT <br /> I <br /> S RINSATE DISPOSAL SITE <br /> )— <br /> E MANIFEST p -OR- OTHER <br /> V VAPORS PURGED (Y/N) METHOD AMOUNT USED <br /> A <br /> P L.E.L. READING AT REMOVAL (MUST BE < 20%) <br /> 0 <br /> T R COMMENTS <br /> K C <br /> / 0 TANK CONDITION (GOOD, POOR, HOLES) <br /> P N <br /> I S PIPE MATERIAL (STEEL, IBERGLASS, OTHER) # FEET Z LO <br /> P T <br /> I PIPING CONDITION (GOOD, 007RHOLES) �y �y� �d �orrvdew <br /> N <br /> G DEPTH SOIL TYPE OBSERVATION SAMPLE # <br /> T <br /> F A <br /> I N <br /> E K <br /> L <br /> D EXCAVATION SIZE: Sj X /3 X /S' YDS OF SOIL : <br /> 3- <br /> I A DEPTH SOIL TYPE OBSERVATION SAMPLE p <br /> N M P — <br /> P L P <br /> E I E _ <br /> C N <br /> T G TRENCH DIMENSION 7! _ _`7Cxub UP- bulb <br /> I -- i <br /> 0H DEPTH TO G.W. : FT SAMPLING METHOD <br /> N 2 <br /> 0 # OF HOURS SINCE DEWATERING: <br /> ❑O OTHER SAMPLE: <br /> LABORATORY: SAMPLERS NAME: <br /> CLOSURE IN PLACE MIXTURE: VOLUME: <br /> DRAW SITE MAP ON REVERSE <br /> LII 23 0,13(7/88) <br /> I Ir?G 0 UF'le '� <br />