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-_ �L�fg$Yc�ygaaYa�Yaaaa �p���aazaaaaaaaa <br /> G ' OWNER 'NAME OWNER PHONE # <br /> E T (-)c i C 1��C, C P I�) V/2 — 7203 <br /> N < CONTRACTOR �KP`�fr n Iti1c lev �G CON. PHONE# <br /> E 6 <br /> R < SJ LH PERMIT # EPA # — FIRE PERMIT # <br /> A <br /> L <br /> INSPECTOR,_-) � i DATE G �� TANK # 39 - - K <br /> R RINSED (Y/, ),. METHOD RINSE AMOUNT <br /> I <br /> N RINSATE DISPOSAL SITE <br /> S <br /> E MANIFEST # -OR- OTHER <br /> V VAPORS PURGED {Y/N) METHOD I )ki . IC�� AMOUNT USED <br /> A <br /> P L.E.L. READING AT REMOVAL (MUST BE < 20$) <br /> 0 <br /> T R COMMENTS <br /> A <br /> N TANK MATERIAL ((STEEL, FIBERGLASS, OTHER) TANK SIZE �- <br /> K C <br /> / 0 TANK CONDITION (�OOD't POOR, HOLES ) <br /> P N <br /> I S PIPE MATERIAL �(STEEIy,' FIBERGLASS, OTHER) <br /> � w f= <br /> P T <br /> I PIPING CONDITION OOD POOR, HOLES ) <br /> N <br /> G DEPTH SOIL TYPE OBSERVATION SAMPLE # <br /> T <br /> F A <br /> I N <br /> E K <br /> L _ <br /> D EXCAVATION SIZE: 1=a X 1 X YDS OF SOIL: -` c (' S <br /> S <br /> I A DEPTH SOIL TYPE OBSERVATION SAMPLE # <br /> N M P <br /> S P I ) � <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 G.W. : FT SAMPLING METHOD <br /> N 2 <br /> 0 # OF HOURS SINCE DEWATERING: <br /> ❑O OTHER SAMPLE: n <br /> LABORATORY: SC S ( 'tme_ �, SAMPLERS NAME: <br /> CLOSURE IN PLACEMIXTURE: VOLUME: <br /> DRAW SITE MAP ON REVERSE <br />