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SJLHD — UNDF.RGRUUND TANK CLOSURL/AIVANDONMENT INSPLCTIUN <br /> (SHADED A TO DE FILLED IN FOR THE ST TANK ONLY) <br /> G < OWNER NAME . Y^i �� OWNER PHONE N ?0/1 Z Z_ <br /> E ` <br /> N c CONTRACTOR Al CON . PHONE# S' <br /> E <br /> R < SJLHD PERMIT # EPA # FIRE PERMIT H <br /> L 11lim <br /> INSPECTORS DATE �, a TANK d 39 <br /> z, - - <br /> R RINSED (YMETHOD RI'S <br /> 'OUNT <br /> I <br /> N RINSATE DISPOSAL SITE /,�J <br /> S <br /> E MANIFEST 0 /I /A -OR- OTHER <br /> V VAPORS PURGED (Y/N)�f METHOD R AMOUNT USED <br /> A <br /> A <br /> P L.E.L. READING AT REMOVAL (MUST BE < 208) <br /> 0 <br /> T R COMMENTS 2 l <br /> .,,,vti <br /> A <br /> N TANK MATERIAL �(STE�, FI RGLASS, OTHER) TANK SIZE rSCj <br /> K C <br /> / 0 TANK CONDITION (GOOD,] P00R, HOLES) <br /> P N <br /> I S PIPE MATERIAL (STEEL, FIBERGLASS, OTHER) !t FEET 4 <br /> P T <br /> I PIPING CONDITION (GOOD, POOR, HOLES ) l 'J <br /> N <br /> G DEPTH SOIL TYPE OBSERVATION SAMPLE A <br /> T <br /> F A c7;� nzvov <br /> I N <br /> E K <br /> L <br /> D EXCAVATION SIZE: X X YDS OF SOIL : <br /> I A DEPTH SOIL TYPE OBSERVATION SAMPLE IF <br /> N M P <br /> S P I } 7 p <br /> P L P <br /> E I E <br /> C N <br /> T G TRENCH DIMENSION X X YDS OF SOIL <br /> I <br /> O H DEPTH TO C.W. : FT SAMPLING METHOD <br /> N 2 <br /> 0 1 OF HOURS SINCE DEWATERING: <br /> ❑O OTHER SAMPLE: <br /> LABORATORY:(e �� � SAMPLERS NAME: <br /> CLOSURE IN PLACE MIXTURE: VOLUME: <br /> DRAW SITE. MAP ON REVERSE <br /> )?II 23 04:1(7/88) <br />