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SJLHD - UNDERGROUND 'TANK CLO:iURE/AL(AND('NMENT INSPECTION <br /> \, (.SHADED Al 'A TO BE FILLED IN FOR THE RST TANK ONLY) <br /> . T .114 a <br /> T!'u�Cl 21131 ry , <br /> G OWNER NAME60,4�& A J <br /> �< < lCos'fc. OWNER PHONE N 2A7-7y/-2576 <br /> E <br /> N c CONTRACTOR ((�� CON. PHONE V207- X2_W/l <br /> E TFfC IS 10u J..^C� ('eS" Cr�PZGnz' jite- l'l <br /> R SJLHD PERMITY EPA Icgc 000 FIRE PERMIT Y P r o <br /> INSPECTOR C Uti>L DATE 13 TANK p 39 - We, - <br /> R RINSED ()ON METHOD RINSE AMOUNT — <br /> I <br /> N RINSATE DISPOSAL SITE <br /> S <br /> E MANIFEST p -OR- OTHER <br /> V VAPORS PURGED (Y N) METHOD I> AMOUNT USED <br /> A <br /> P L.E.L. READING AT REMOVAL (MUST BE < 20t) <br /> O <br /> T R COMMENTS <br /> A <br /> K C TANK MATERIAL (STEEL, IBERGLASS, OTHER) TANK SIZE <br /> / 0 TANK CONDITIO (GOOD, OOR, HOLES) f {1e{e C he Jv� p <br /> P N 1 b <br /> I S PIPE MATERIAL (STEEL, FIBERGLASS, OTHER) N FEET <br /> P T <br /> I PIPING CONDITION (GOOD, POOR, HOLES) <br /> N <br /> G DEPTH Soot. ,TYPE OBSERVATION SAMPLE p <br /> T o <br /> F AG� fa� <br /> I N <br /> E K <br /> L <br /> D S- EXCAVATION SIZE: L X I� X YDS OF SOIL: 6 <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 /> 0 RH DEPTH TO C.W. : FT SAMPLING METHOD <br /> N Y OF HOURS SINCE DEWATERING: <br /> aOTHER SAMPLE: <br /> LABORATORY: Re A�MrXTVURE: <br /> _ � SAMPLERS NAME: j,,r <br /> CE CLOSURE IN PLAVOLUME: <br /> (( 2' 0' $H) DRAW SITE MAP ON REVERSE <br /> � <br />