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(SHADED A TO BE FILLED IN FOR THE ST TANK ONLY) <br /> G c OWNER NAME , OWNER PHONE <br /> E � 3s 5 <br /> N CONTRACTOR CON. PHONE# q <br /> E I� Y'I / l <br /> R SJLHD IT # EPA # FIRE PERMIT # < <br /> L <br /> INSPECTOR ,— V DATE ' TANK # 39 - f` q_5 -- (pool/ <br /> RIJ. <br /> RINSED (Y/N) METHOD RINSE AMOUNT <br /> N RINSATE DISPOSAL SITE <br /> S <br /> E MANIFEST # -OR- OTHER <br /> V VAPORS PURGED {Y N) r METHOD Cy ��� AMOUNT USED � S <br /> A <br /> P L.E.L. READING AT REMOVAL (MUST BE < 20%) <br /> 0 <br /> T R COMMENTS <br /> A <br /> N TANK MATERIAL TE Imo, FIBERGLASS, OTHER) TANK SIZE f �� L <br /> K C / <br /> / 0 TANK CONDITION (GOOD, 0 HOLES ) <br /> P N CG'C <br /> I S PIPE MATERIA (ST FIBERGLASS, OTHER) # FEET <br /> P T <br /> I PIPING CONDITION (GOOD, POOR, HOLES ) <br /> N <br /> G I DEPTH SOIL TYPE OBSERVATION SAMPLE # <br /> T <br /> F A t 0 Kt- y Q L '�� <br /> I f N <br /> E K <br /> L <br /> D EXCAVATION SIZE: _Z X X YDS OF SOIL : _ <br /> I A DEPTH SOIL TYPE OBSERVATION SAMPLE <br /> N M 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 /> 0 H DEPTH TO G.W. : FT SAMPLING METHOD <br /> N 2 <br /> 0 # OF HOURS SINCE DEWATERING: <br /> Foil OTHER SAMPLE: <br /> LABORATORY: �� SAMPLERS NAME: <br /> CLOSURE IN PLACE MIXTURE: VOLUME: <br /> DRAB SITE MAP ON REVERSE <br />