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4, - U17Ui, :RUUND 'TANK CLOL'URL/At„ _ .,1J111i[4'T INSL'LGTION <br /> ` 2 (SHADED AREA m ) BE FILLED IN FOR THE FIR TANK ONLY) <br /> SI������� r-S���t�c�` . ?�l`�'•�?I����`�c��+.�`�c-2•'t��• •��,��,'���i�`�3� �-�'•��'�2�2 , ;�'�� ���4•�-�`�� <br /> G OWNER NAME S OWNER PHONE <br /> E <br /> N CONTRACTORCON. PHONEJK <br /> E <br /> R SJLHD PERMIT d EPA FIRE PERMIT b <br /> INSPECTO DATE TANK Y 39 - c1� - 1� <br /> R RINSED (Y& METHOD �/d , RINSE AMOUNTIU <br /> N RINSATE DISPOSAL SITE o�olH � 3p, r5 sj <br /> S <br /> E MANIFEST @ -OR- OTHER <br /> V VAPORS PURGED /N) METHOD �5Z AMOUNT USEDO� 00 <br /> A <br /> P L.E.L. READING AT REMOVAL (MUST BE < 20%) � <br /> 0 <br /> T R COMMENTS <br /> A -- -- <br /> N TANK MATERIA ( STEEL FIBERGLASS, O`1'HER) TANK SIZE 3 <br /> K C ____ <br /> / 0 TANK CONDITION (GOOD POOR, HOLES ) <br /> P N <br /> I S PIPE MATERIAL STEEe, FIBERGLASS, OTHER) Y FEET G S" <br /> P T <br /> I PIPING CONDITION (GOOD, 00 HOLES) <br /> N <br /> G I DEPTH SOIL TYPE OBSERVATION SAMPLE 0 <br /> I N <br /> E K <br /> L <br /> D EXCAVATION SIZE: X X YDS OF SOIL: <br /> 3 . — <br /> I A DEPTH SOIL TYPE OBSERVATION SAMPLE q <br /> N M P <br /> S P I u o �✓ �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 C.W. : FT SAMPLING METHOD <br /> N 2 <br /> 0 1 OF HOURS SINCE DEWATERING: <br /> ❑0 OTHER SAMPLE: <br /> LABORATORY: -j �� ✓ SAMPLERS NAME: <br /> i <br /> CLOSURE IN PLACE I MIXTURE: VOLUME: <br /> DRAW SITE, MAP ON REVERSE <br /> 11,11 23 N:1(7/89) <br />