Laserfiche WebLink
G <br />SJLHD UNDERGROUND TANK CLOSURVAILANDUNML•'NT I N:;j1LL'1' 1 uN <br />iStrADED AREA TO BE FILLED IN FOR THE FIRST TA 11K ONLY) <br />G OWNER NAME 0 12 41-R PdabE 7 c� <br />N t CONTRACTOR olCON. PHONE#' <br />R + SJLHD PERMIT I / <br />h...r. FIRE PERMIT !u <br />INSPECT R DATE j TANK M 39Z - <br />R RINSED /N) METHOD- <br />I / ` RINSE AMOUNT 5 <br />N RINSATE DISPOSAL SITE ", <br />S L�iJG fi?? �-� // r4 ,cl <br />E MANIF9ST M <br />-OR- OTHER <br />V VAPORS PURGEDN) METHODI1,, <br />.A AMOUNT USED <br />.P L.E.L. READING AT REMOVAL (MUST BE < 20%) <br />O <br />T R COMMENTS <br />A <br />N TANK MATERIAL STEEL FIBERGLASS, OTHER) TANK SIZE <br />! 0 TANK CONDITION GOOD POOR, HOLES) <br />P N~~ <br />` I S PIPE MATERIAL (STEEL FIBERGLASS, <br />P T OTHER) y FEET <br />J <br />I PIPING CONDITION GOOD POOR, HOLES) <br />N <br />G DEPTH SOIL TYPE OBSERVATION <br />T SAMPLE <br />I N of <br />E K <br />L <br />D EXCAVATION SIZE: X X <br />3 : � YDS OF SOIL: <br />I A DEPTH SOIL TYPE OBSERVATION <br />N M P SAMPLE p <br />S P I <br />P L P <br />E I E <br />C N <br />T G TRENCH DIMENSION X X <br />I YDS OF SOIL <br />O H DEPTH TO C.W.: <br />N 2 --�—� FT SAMPLING METHOD <br />0 1 OF HOURS SINCE DEWATERING : i(/d d S�,Pr� <br />r <br />0 OTHER SAMPLE: <br />LABORATORY: 3 <br />SAMPLERS NAME: � 6 N �� <br />CLOSURE IN PLACE MIXTURE: <br />VOLUME: <br />DRAW rrs . <br />