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SJLHD — UND ' GROUND 'TANK CLOSURE/AUND ENT 114SPEC'T1UN <br /> (S.HADED ArW TO BE FILLED IN FOR THE IWST TANK ONLY) <br /> G c OWNER NAME OWNER PHONE tl <br /> E <br /> N < CONTRACTOR CON. PHONEY <br /> E <br /> R < SJLHD PERMIT I EPA I FIRE PERMIT tl <br /> L : : <br /> INSPECTO DATE Z� TANK tl 39 <br /> R RINSED (Y N) METHOD � Q/`�� � RINSE AMOUNT 1r <br /> N RINSATE DISPOSAL SITE <br /> S v v <br /> E MANIFEST @ -OR- OTHER <br /> V VAPORS PURGED (Y N) METHOI�^O� AMOUNT USED�S o <br /> A <br /> P L.E.L. READING AT REMOVAL (MUST BE < 208) �/ Q <br /> 0 <br /> T R COMMENTS <br /> A <br /> N TANK MATERIAL (STEEL, FIBERGLASS, OTHER) TANK SIZE <br /> K C /2 >L� <br /> / 0 TANK CONDITION (GOOD/P , HOLES) <br /> P N <br /> „I S PIPE MATERIAL ( TEE, FIBERGLASS, OTHER) @ FEET <br /> P T <br /> I PIPING CONDITION (GOOD, 0 , HOLES) <br /> N <br /> G T DEPTH SOIL TYPE OBSERVATION SAMPLE tl <br /> F A <br /> I N v <br /> E K aS <br /> L <br /> D EXCAVATION SIZE: X XYDS OF SOIL : <br /> I A DEPTH SOIL TYPE OBSERVATION SAMPLE tl <br /> N M P <br /> S P 1 <br /> P L P <br /> E I E <br /> C N <br /> T GTR$NCH DIMENSION X X YDS OF SOIL <br /> I — <br /> 0 H DEPTH TO G.W. : FT SAMPLING METHOD <br /> N 2 <br /> 0 tl OF HOURS SINCE DEWATERING: <br /> 0 OTHER SAMPLE: <br /> i <br /> LABORATORY:/, SAMPLERS NAME: <br /> CLOSURE IN PLACE MIXTURE*, VOLUME: <br /> DRAW SITE HAP ON REVERSE <br />