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0 0 rl- <br /> SJL.HD — UNDERGROUND TANK CLOSUkS*/AJLANDONML:N'T XN;;LJLL;•1'1UN <br /> f 5}IADED AREA TO DE FILLED IN FOR TIIC FIRST TANK ONLY) <br /> Ill.wil Viet <br /> (G; OWNER NAME / <br /> OWNER PHONE 1 ' <br /> N CONTRACTOR <br /> E �' IC^/l/l�f r/ ON. PHONEM ' t 7�� <br /> R c SJLHD PERMIT I EPA if 4 <br /> FIRE PERMIT # <br /> L � . . . . . . <br /> INSPECT O DATE TANK M 39 — <br /> R RINSED (Y/N) �~ <br /> I METHOD � irr � RINSE AMOUNT <br /> N RINSATE DISPOSAL SITE �� <br /> S <br /> E MANIFEST II —OR— OTHER <br /> V VAPORS PURGED (Y1N) METHOD <br /> A AMOUNT USED - <br /> • P L.E.L. READING AT REMOVAL (MUST BE C 20%) <br /> O <br /> T R COMMENTS _ <br /> TANK MATERIAL (STEEL, IBERCLASS� OTHER) TANK SIZE <br /> K C SCD <br /> / 0 TANK CONDITION ('GOOD, POOR, HOLES) <br /> P N <br /> I S PIPE MATERIALTEEt , FIBERGLASS, OTHER) If FEET <br /> P T <br /> I PIPING CONDITION (GOOD, POOR, HOLES) <br /> N <br /> C DEPTH SOIL TYPE OBSERVATION <br /> T SAMPLE I# <br /> F A S try rr <br /> I N .s <br /> E =� <br /> K <br /> L <br /> D EXCAVATION SIZE: X `` > X <br /> S; YDS OF SOIL : , <br /> I ADEPTH SOIL TYPE OBSERVATION <br /> N M P SAMPLE <br /> S P I <br /> P L P <br /> E I. E <br /> C N <br /> T G TRENCH DIMENSION X X <br /> I YDS OF SOIL <br /> U H DEPTH TO G.W. : <br /> N 2 �� FT SAMPLING METHOD <br /> (�0 X OF HOURS SINCE DEWATERING: <br /> E O OTHER SAMPLE: <br /> ---LABORATORY; SAMPLERS NAME: <br /> CLOSURE IN PLACE MIXTURE: <br /> VOLUME: <br /> [)PAW errr- <br /> ,, <br />