Laserfiche WebLink
SJLHD — UND '" ROUND 'TANK CLOSURE/Al)ANDO"" ENT1NSPECTIuN <br /> (SHADED AR TO BE FILLED IN FOR THE FST TANK ONLY) <br /> =, > Ole <br /> G OWNER NAME OWNER PHONE <br /> E ('� <br /> N CONTRACTOR Yf/�+�C� CON. PHONER <br /> E <br /> R / SJL.HD. PERMIT I EPA I FIRE PERMIT a <br /> . - <br /> INSPECTOR DATE 27 _'�" TANK 1 39 — 16M <br /> R RINSED Y ) METHOD RINSE AMOUNTV�/�� <br /> I <br /> S RINSATE DISPOSAL SITE <br /> E MANIFEST I —OR— OTHER <br /> VA VAPORS PURGED (Y N) METHODr n AMOUNT USED �S <br /> / n0� <br /> P L.E.L. READING AT REMOVAL (MUST BE < 20%) Q <br /> 0 <br /> T R COMMENTS <br /> A <br /> K C TANK MATERIA (STEE , FIBERGLASS, OTHER) TANK SIZE / �w <br /> / 0 TANK CONDITION (GOOD, . 00 , HOLES) <br /> P N <br /> „I S PIPE MATERIAL (STEE , FIBERGLASS, OTHER) @ FEET <br /> P T <br /> I PIPING CONDITION (GOOD, OOR HOLES) <br /> N <br /> G DEPTH SOIL TYPE OBSERVATION <br /> T SAMPLE U <br /> F A <br /> I N N , <br /> E K <br /> 5 <br /> L <br /> D EXCAVATION SIZE: X X YDS OF SOIL : <br /> 3: — <br /> I A DEPTH SOIL TYPE OBSERVATION <br /> N M P SAMPLE Y <br /> S P I s� <br /> P L P <br /> E I E <br /> C N <br /> T G TRENCH DIMENSION <br /> I X X YDS OF SOIL <br /> 0 H DEPTH TO C.W. : FT SAMPLING METHOD <br /> N 2 <br /> 0 1 OF HOURS SINCE DEWATERING: <br /> O1OTHER SAMPLE: <br /> LABORATORY: 1t/v'�. SAMPLERS NAME: <br /> CLOSURE IN PLACE I MIXTURE: VOLUME: <br /> DRAW SITE MAP ON REVERSE•. <br />