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JJLHU - UNUE UUNN <br /> U TAK CLOSURE/AIfNDONNENT' INSPECTION <br /> (SHADED ARE�O BE FILLED IN FOR THE F T TANK ONLY) <br /> 1111 <br /> G < OWNERNAMEOWNER PHONE # <br /> E <br /> N ; CONTRACTOR CON. PHONE# <br /> E <br /> R SJLHD PERMIT # EPA # FIRE PERMIT # <br /> A <br /> L — <br /> INSPECTOR �i�. t-OLC-11 DATE ,j/,/�_ TANK # 39 <br /> R RINSED (Yt/ l) METHOD I WSE RINSE AMOUNT <br /> I <br /> N RINSATE DISPOSAL SITE �/ PJ ) ✓IC-ZD <br /> S <br /> E MANIFEST # -OR- OTHER <br /> V VAPORS PURGED Y N) METHOD bp ( M AMOUNT USED -Q"-) <br /> A <br /> P L.E.L. READING AT REMOVAL (MUST BE < 20%) <br /> 0 <br /> T R COMMENTS <br /> A <br /> N TANK MATERIAL ( STEEL, FIBERGLASS, OTHER) TTANK SIZE <br /> K C <br /> / 0 TANK CONDITION (G9W , POOIj), HOLES ) 51 /2SK m` c <br /> P N <br /> I S PIPE MATERIAL (STEEL,) FIBERGLASS, OTHER) # FEET Pack 5� <br /> P T <br /> I PIPING CONDITION (GOOD /POOR; HOLES ) rrc5;t> . �1d2 cf <br /> N <br /> G DEPTH SOIL TYPE OBSERVATION SAMPLE # <br /> rA I-S S r <br /> F I '/� � r »E <br /> c c< cr N <br /> L <br /> D EXCAVATION SIZE: X X YDS OF SOIL: <br /> S <br /> I A RE7 <br /> H SOIL TYPE OBSERVATION SAMPLE # <br /> N M P <br /> S P I r <br /> P L P <br /> E I E <br /> C N <br /> T G TRENCH DIMENSION X _ X YDS OF SOIL <br /> I <br /> OmoDEPTH TO G.W. : nu �'T SAMPLING METHOD <br /> N <br /> # OF HOURS SINCE DEWATERING: <br /> OTHER SAMPLE: <br /> ❑O <br /> LABORATORY: �f}L SAMPLERS NAME: <br /> CLOSURE IN PLACE MIXTURE: VOLUME: - - <br /> DRAW <br /> OLUME: "DRAW SITE MAP ON REVERSE <br />