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SJLHD — UNDERG&ND TANK CLOSURE/A$ANDONMENT INSPECTION ( a� <br /> (SHADED AREA BE FILLED IN FOR THE FI TANK ONLY) <br /> 1 y I <br /> i <br /> OWNER PHONE # �_� <br /> G OWNER NAME � l/ /-/q U q <br /> E y <br /> N { CONTRACTOR � CON. PHONE# W?- I <br /> E / -Lc —t'i <br /> R SJLHD PERMIT # EPA # FIRE PERMIT # '. <br /> A <br /> L <br /> INSPECTODATE TANK # 39 <br /> R <br /> R RINSED (Y/N) E HOD R�SE AMOUNT <br /> I 2, A.,ix <br /> N RINSATE DISPOSAL SITE <br /> S <br /> E MANIFEST # -OR- OTHER <br /> V VAPORS PURGED Y/, ) METHOD C 19-1 AMOUNT USED/, <br /> A <br /> P L.E.L. READING AT REMOVAL (MUST BE < 20%)�- <br /> 0 <br /> T R COMMENTS <br /> N TANK MATERIAL (STEE , FIBERGLASS, OTHER) TANK SIZE Dr), � <br /> K C <br /> / 0 TANK CONDITION (GOOD-, POOR, HOLES ) <br /> P N <br /> FEET <br /> I S PIPE MATERIAL /(STEEL FIBERGLASS, OTHER) # <br /> P T / <br /> I PIPING CONDITION (GoOD;)P00R, HOLES) <br /> NSAMPLE # <br /> G DEPTH SOIL TYPE OBSERVATION <br /> T <br /> F A /n <br /> I N <br /> E K <br /> L <br /> D EXCAVATION SIZE: X C X 6 YDS OF SOIL: <br /> S- SAMPLE # <br /> I A DEPTH SOIL TYPE OBSERVATION <br /> N M P , <br /> S P I <br /> P L P <br /> E I E <br /> C N YDS OF SOIL <br /> T G TRENCH DIMENSION X X <br /> I <br /> 0 H DEPTH TO G.W. : FT SAMPLING METHOD <br /> N 2 <br /> 0 # OF HOURS SINCE DEWATERING: <br /> aOTHER SAMPLE: <br /> LABORATORY: SAMPLERS NAME: <br /> CLOSURE IN PLACE FMIXTURE: VOLUME: <br /> DRAW SITE MAP ON REVERSE <br />