Laserfiche WebLink
`JLliD - UNDLlt"'Q0UND TANK CLOSURl_'/Al�ANb0NM1`1V1' INSVECTIuN <br />(SHADED ARE, '0 BE FILLED IN FOR THE FI P TANK ONLY) <br />DRAW SITE HAP ON REVERSE <br />"'1 04'1(7/88) <br />G <br />E <br />OWNER NAMEOWNER <br />o <br />PHONE 9 <br />N <br />E <br />CONTRACTOR -74 r i e <br />1 <br />CON. PHONE# <br />R <br />A <br />L <br />SJLHD PERMIT I EPA # FIRE P RMIT 0 <br />INSPECTOR I 's -K Z S6y_D <br />A T E <br />K 9 39 - <br />R <br />I <br />RINSED (Y/N) _T <br />METHOD <br />FRINSE AMOUNT <br />N <br />RINSATE DISPOSAL SITE <br />S <br />E <br />MANIFEST # -OR- OTHER <br />V <br />VAPORS PURGED (Y/N) <br />METHOD <br />AMOUNT USED <br />A <br />P <br />L.E.L. READING AT REMOVAL (MUST BE < 20%) <br />T <br />0 <br />RR <br />COMMENTS <br />A <br />N <br />TANK MATERIAL (STEEL, FIBERGLASS, OTHER) <br />TANK SIZE <br />K <br />c <br />0 <br />TANK CONDITION (GOOD, POOR, HOLES) <br />P <br />I <br />P <br />I <br />N <br />S <br />T <br />PIPE MATERIAL (STEEL, FIBERGLASS,!OTHER <br />4 FEET <br />PIPING CONDITION (GOO D POOR, HOLES) Ito htJ/Wit, <br />N <br />G <br />DEPTH <br />SOIL TYPE <br />OBSERVATION <br />SAMPLE 0 <br />T <br />F <br />A <br />I <br />N <br />E <br />KT_ <br />L <br />D <br />EXCAVATION SIZE: X X <br />YDS OF SOIL: <br />I <br />A <br />DEPTH <br />SOIL TYPE <br />OBSERVATION <br />SAMPLE <br />N <br />M <br />P <br />S <br />P <br />E <br />P <br />L <br />I <br />I <br />E <br />- <br />r -o' 'g ae-vi <br />-4Li r�5t <br />C <br />T <br />N <br />G <br />TRENCH DIMENSION X X <br />YDS OF SOIL <br />I <br />OHDEPTH <br />TO G.W.: FT <br />SAMPLING METHOD <br />N <br /># OF HOURS SINCE DEWATERING: <br />OTHER SAMPLE: <br />LABORATORY :moi, J <br />SAMPLERS NAME: <br />CLOSURE IN PLACE <br />MIXTURE: <br />VOLUME: <br />DRAW SITE HAP ON REVERSE <br />"'1 04'1(7/88) <br />