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SJLHD - UND "'GROUND 'TANK CLOSURE/AUND " WENT' INSPL•'C'T1UN <br /> (SHADED ArAW TO BE FILLED IN FOR THE ST TANK ONLY) <br /> 411101 141". <br /> G OWNER NAME <br /> E OWNER PHONE q <br /> N < CONTRACTOR CON. PHONEN <br /> E <br /> R ? SJLHD PERMIT I <br /> EPA tl FIRE PERMIT 0 : <br /> INSPECTOR DATE TANK Y 39 <br /> R RINSED YN) METHOD �UZ RINSE AMOUNT <br /> N RINSATE DISPOSAL SITE <br /> S <br /> E MANIFEST d -OR- OTHER <br /> VA VAPORS PURGED'(Y N) METHOD AMOUNT USED % <br /> 00 <br /> P L.E.L. READING AT REMOVAL (MUST BE < 20%) <br /> 0 <br /> T R COMMENTS <br /> A <br /> K C TANK MATERIAL TE , FIBERGLASS, OTHER) TANK SIZE/7,1D6? <br /> / 0 TANK CONDITION (GOOD, , HOLES) <br /> P N 604 <br /> P T PIPE MATERIAL E , FIBERGLASS, OTHER) Y FEET, <br /> I PIPING CONDITION (GOOD, 00 , HOLES) l�JJ <br /> N <br /> G DEPTH SOIL TYPE OBSERVATION SAMPLE Y <br /> T <br /> F A �° 0 0 0✓ a✓ <br /> I N „ Ci <br /> H ? <br /> E K 3S <br /> L <br /> D EXCAVATION SIZE: X X 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 YDS OF SOIL <br /> I ' — <br /> O H DEPTH TO C.W. : FT SAMPLING METHOD <br /> N 2 <br /> 0 Y OF HOURS SINCE DEWATERING: <br /> 7 OTHER SAMPLE: <br /> LABORATORY, SAMPLERS NAME: <br /> CLOSURE IN PLACE MIXTURE: VOLUME: <br /> DRAW SITE. MAP ON REVERSE•. <br /> 1:11 2:1 0�:t(7/KH) <br />