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SJLHD - UN GROUND 'TANK CLOSURE/AUN EN-1- INSYECTIUN <br /> (SHADED A� TO BE FILLED iN FOR THE PTRST TANK ONLY) <br /> �/ Gh. .. . . , /O �Y/ �` .N ���1 a`•���C{-OO L• - <br /> G < OWNER NAME <br /> E OWNER PHONE I <br /> N f CONTRACTOR J. <br /> E Cris Co�sf�� �, CON. PHONEN <br /> R SJLH ERMIT Y <br /> L �. . . . . <br /> ( EPA Y FIRE PERMIT 0 <br /> C��pfi7 <br /> INSPECTOR ��, DATE /���� y TANK d 39 <br /> R RINSED N) METHOD <br /> RINSE AMOUNT <br /> N RINSATE DISPOSAL SITE <br /> S <br /> E MANIFEST Y -OR- OTHER <br /> V VAPORS PURGED (©N) METHOD <br /> A c%, AMOUNT USED <br /> P L.E.L. READING AT REMOVAL (MUST BE C 20%) <br /> O <br /> T R COMMENTS <br /> A <br /> K C TANK MATERIAL 4`STEEIi, FIBERGLASS, OTHER) TANK SIZE <br /> .��� w^ <br /> / 0 TANK CONDITION (GOOD, POOR <br /> P N , HOLES) 4 v <br /> I S <br /> P T PIPE MATERIAL (STEEL, FIBERGLASS, OTHER) V FEET <br /> I PIPING CONDITION (GOOD, POOR, OLES <br /> N <br /> G DEPTH SOIL TYPE OBSERVATION <br /> T � SAMPLE U <br /> I N <br /> E K <br /> L <br /> D EXCAVATION SIZE: i X /o X <br /> S; 2 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 /> I G TR$NCH DIMENSION __ X X <br /> YDS OF SOIL <br /> 0 H DEPTH TO G.W. : FT <br /> N 2 SAMPLING METHOD ! <br /> 0 Y OF HOURS SINCE DEWATERING: )/ <br /> OTHER SAMPLE: <br /> LABORATORY: SAMPLERS NAME: /) )4iI� <br /> CLOSURE IN PLACE MIXTURE, <br /> VOLUME: <br /> ) )( '23 04:1(7/88) DRAW SITE MAP ON REVS FRSE <br />