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SJLHD - UNDRLtiGROUND 'TANK CLOSURE/AUNDENT INSPECTION <br /> (SIIADED AIo TO BE FILLED IN FOR THE OST TANK ONLY) <br /> lil all R, 311-1-16=111- <br /> N PKP��� <br /> IG OWNER NAME OWNER PHONE 3_ SL(6� <br /> E <br /> N CONTRACTOR R P� l L CON. PHONE# Z0� _ S/S�/ <br /> E <br /> R t SJLHD PERMIT I EPA I C'AC6WI5-1 FIRE PERMIT # <br /> L � � : <br /> INSPECTOR R TE 312.31 TANK @ 39 - a6 - <br /> R RINSED (Y ) METHOD RINSE AMOUNT <br /> • I <br /> N RINSATE DISPOSAL SITE <br /> S <br /> E MANIFEST # -OR- OTHER <br /> POV VAPORS PURGED ON) METHOD AMOUNT USED fs <br /> A <br /> P L.E.L. READING AT REMOVAL (MUST BE < 20%) <br /> T R COMMENTS <br /> A <br /> N TANK MATERIAL STEEL, FIBERGLASS, OTHEEt) TANK SIZE <br /> K C <br /> / 0 TANK CONDITION G D, OOR, HOLES) <br /> P N <br /> I S PIPE MATERIAL (STEEL, FIBERGLASS, OTHER) # FEET <br /> P T <br /> I PIPING CONDITION (GOOD, POOR, HOLES ) Ypt <br /> N <br /> G DEPTH SOIL TYPE OBSERVATION SAMPLE I) <br /> T -71 <br /> tip�� tiv OD 2 �SC01 <br /> F A <br /> I N <br /> E K <br /> L <br /> D EXCAVATION SIZE: � X IL XS.S/D YDS OF SOIL: <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 /> 0 H DEPTH TO G.W. : FT SAMPLING METHOD <br /> N 2 <br /> 0 1 OF HOURS SINCE DEWATERING: <br /> rO OTHER SAMPLE: <br /> LABORATORY: SAMPLERS NAME: <br /> --J CLOSURE IN PLACE MIXTURE: VOLUME: <br /> DRAW SITE MAP ON REVERSE <br /> I:II ?a 0l't(7/88) <br />