Laserfiche WebLink
SJLHD — UN P&GROUND TANK CLOSURE/AltANENT INI;PECTIUN <br /> (SHADED TO BE FILLED IN FOR THE ."ST TANK ONLY) <br /> NIT <br /> G < OWNER NAME OWNER PHONE # <br /> E <br /> N < CONTRACTOR CON . PHONE# <br /> R ? SJLHD PERMIT # EPA # FIRE PERMIT # <br /> 11 <br /> INSPECTOR ^ DATE fTANK # 39 <br /> R RINSED (Yr . METHOD �J RINSE AMOUNTS) <br /> I v <br /> N RINSATE DISPOSAL SITE <br /> S <br /> E MANIFEST -OR- OTHER <br /> V VAPORS PURGED (Y �Nj METHOD /L AMOUNT USED <br /> A <br /> P L.E.L. READING AT REMOVAL (MUST BE < 20%) � <br /> 0 <br /> TR COMMENTS <br /> A Aewt tt oL- i 2F -J� z, o <br /> K C TANK MATERIAL STEE , F BERGLASS, OTHER) TANK SIZE f � <br /> / 0 TANK CONDITION (GOOD„kOgR; HOLES) <br /> P N <br /> I S PIPE MATERIAL (PTEE , FIBERGLASS, OTHER) # FEET <br /> p T C� <br /> I PIPING CONDITION (GOOD, POOR, HOLES) <br /> N <br /> G DEPTH SOIL TYPE OBSERVATION SAMPLE # <br /> T <br /> F A t e <br /> I N <br /> E K <br /> L <br /> D EXCAVATION SIZE: X X YDS OF SOIL: <br /> S: — <br /> I A DEPTH SOIL TYPE OBSERVATION SAMPLE # <br /> N M P <br /> S P I rA <br /> — c <br /> p L P <br /> E I E <br /> C N <br /> T G TRENCH DIMENSION X X YDS OF SOIL <br /> I — <br /> 0 H DEPTH TO G.W. : FT SAMPLING METHOD <br /> N 2 <br /> 0 # OF HOURS SINCE DEWATERING: <br /> ❑O OTHER SAMPLE: <br /> LABORATORY:C (f .. SAMPLERS NAME: <br /> CLOSURE IN PLACE I MIXTURE: VOLUME: <br /> DRAW SITE MAP ON REVERSE <br /> 1?II 2:1 01'1(7/88) <br />